Harbor Beach Community Hospital Inc - Medicare Primary Care in Harbor Beach, MI

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Harbor Beach Community Hospital Inc is a medicare enrolled primary clinic (Family Medicine) in Harbor Beach, Michigan. The current practice location for Harbor Beach Community Hospital Inc is 210 S 1st St, Harbor Beach, Michigan. For appointments, you can reach them via phone at (989) 479-3201. The mailing address for Harbor Beach Community Hospital Inc is 210 S 1st St, Harbor Beach, Michigan and phone number is (989) 479-3201.

Harbor Beach Community Hospital Inc is licensed to practice in Michigan (license number 4301078947). The clinic also participates in the medicare program and its NPI number is 1619059458. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (989) 479-3201.

Contact Information

Harbor Beach Community Hospital Inc
210 S 1st St
Harbor Beach
MI 48441-1236
(989) 479-3201
(989) 479-5000

Map and Direction


Primary Care Clinic Profile

Full NameHarbor Beach Community Hospital Inc
SpecialityFamily Medicine
Location210 S 1st St, Harbor Beach, Michigan
Authorized Official Name and PositionJill Wehner (VP/COO)
Authorized Official Contact9894793201
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Harbor Beach Community Hospital Inc
210 S 1st St
Harbor Beach
MI 48441-1236

Ph: (989) 479-3201		Harbor Beach Community Hospital Inc
210 S 1st St
Harbor Beach
MI 48441-1236

Ph: (989) 479-3201

NPI Details:

NPI Number1619059458
Provider Enumeration Date10/20/2006
Last Update Date03/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7214903483
Medicare Enrollment IDO20040908001458

Medical Identifiers

Medical identifiers for Harbor Beach Community Hospital Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619059458NPI-NPPES
104643573MedicaidMI
114638537MedicaidMI
104684941MedicaidMI
104700007MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301078947 (Michigan)Primary
207Q00000XFamily Medicine 4301067040 (Michigan)Secondary
207QG0300XFamily Medicine - Geriatric Medicine 4301076866 (Michigan)Secondary
207R00000XInternal Medicine 5101013107 (Michigan)Secondary
363A00000XPhysician Assistant 5601004034 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Harbor Beach Community Hospital Inc acts as a billing entity for following providers:
Provider NameJohn L Loomis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518014018
PECOS PAC ID: 0840199550
Enrollment ID: I20031231000733
Provider NameEugene S Olsowka
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1407943871
PECOS PAC ID: 8729073465
Enrollment ID: I20040420000818
Provider NameRamez Abdalla
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629023254
PECOS PAC ID: 6406825892
Enrollment ID: I20041001000575
Provider NameBranislav D Behan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1609962778
PECOS PAC ID: 8224091103
Enrollment ID: I20041116000019
Provider NameJyothi Pappula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104827518
PECOS PAC ID: 6002874591
Enrollment ID: I20041230000243
Provider NameJanet Eng
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073667259
PECOS PAC ID: 1951340876
Enrollment ID: I20050429000733
Provider NamePhilip O Kilanowski Doroh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033192059
PECOS PAC ID: 5092759472
Enrollment ID: I20050616000329
Provider NameChristopher E Herald
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548221021
PECOS PAC ID: 4587691662
Enrollment ID: I20050720000550
Provider NameCraig P Adams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982647384
PECOS PAC ID: 1456381086
Enrollment ID: I20050815000124
Provider NameLawrence W Schenden
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609853605
PECOS PAC ID: 3779540869
Enrollment ID: I20051108000590
Provider NameChristine Perry Ockerman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598792814
PECOS PAC ID: 2466471800
Enrollment ID: I20051115001000
Provider NameAlbert James Rocchini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861444234
PECOS PAC ID: 8628081783
Enrollment ID: I20060714000015
Provider NameRashid F Alsabeh
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1093788150
PECOS PAC ID: 9032122338
Enrollment ID: I20060802000354
Provider NameJoshua M White
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083729933
PECOS PAC ID: 1557368222
Enrollment ID: I20061023000562
Provider NameRicardo G Joseph
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750342135
PECOS PAC ID: 7911907902
Enrollment ID: I20061221000280
Provider NameMoutaz Haiba
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1265530687
PECOS PAC ID: 1658371679
Enrollment ID: I20061221000452
Provider NameSam Abdul
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932187713
PECOS PAC ID: 6305853722
Enrollment ID: I20070419000563
Provider NameAli A Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598870503
PECOS PAC ID: 4385535087
Enrollment ID: I20070606000237
Provider NameErich C Kickland
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194827105
PECOS PAC ID: 1850485830
Enrollment ID: I20070921000056
Provider NameDavid E Newcomb
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326158072
PECOS PAC ID: 6608961487
Enrollment ID: I20071009000535
Provider NameStephen D Chabala
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265525281
PECOS PAC ID: 4688743610
Enrollment ID: I20080516000588
Provider NameJaime L Hope
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790990893
PECOS PAC ID: 1456427400
Enrollment ID: I20080827000731
Provider NameAaron J Goldfarb
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1417100306
PECOS PAC ID: 5193889970
Enrollment ID: I20090122000351
Provider NameDavid Donaldson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023077591
PECOS PAC ID: 7113082819
Enrollment ID: I20090212000370
Provider NameDeborah B Wagenaar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255315628
PECOS PAC ID: 5496811994
Enrollment ID: I20090309000333
Provider NameBrent M Felton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609081363
PECOS PAC ID: 5395897458
Enrollment ID: I20090721000238
Provider NameZhiqin Wang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1265636864
PECOS PAC ID: 1052450491
Enrollment ID: I20091125000095
Provider NameChristopher H Hutchinson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730149576
PECOS PAC ID: 8022150754
Enrollment ID: I20100119000514
Provider NameStanley B Beckman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750431722
PECOS PAC ID: 8022906734
Enrollment ID: I20100624000344
Provider NameDennis W Spender
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1487755971
PECOS PAC ID: 8729112503
Enrollment ID: I20100817000014
Provider NameScott P Shisler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477551000
PECOS PAC ID: 5799711560
Enrollment ID: I20101028000875
Provider NameBophal Hang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821204389
PECOS PAC ID: 4385833706
Enrollment ID: I20110114000807
Provider NameMustafa M Hamed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366600280
PECOS PAC ID: 2062699333
Enrollment ID: I20110614000586
Provider NameVithal Bhimrao Shendge
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1649502121
PECOS PAC ID: 6406025006
Enrollment ID: I20110817000235
Provider NameJoseph T Czaja
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1356520399
PECOS PAC ID: 5799751681
Enrollment ID: I20120828000673
Provider NameSusan L Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043525025
PECOS PAC ID: 8921253725
Enrollment ID: I20130228000177
Provider NameAshley R Wooters
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821202045
PECOS PAC ID: 7810048147
Enrollment ID: I20140218000226
Provider NameShane R Starr
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1730372913
PECOS PAC ID: 4183808397
Enrollment ID: I20140724000792
Provider NameShaun C Ramsey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245594910
PECOS PAC ID: 4880917897
Enrollment ID: I20141224001096
Provider NameAntwan L Hall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912260514
PECOS PAC ID: 4587896071
Enrollment ID: I20150102001267
Provider NameGregory Glatz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235223181
PECOS PAC ID: 4082939632
Enrollment ID: I20150203000499
Provider NameFatima Kazem
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083673644
PECOS PAC ID: 9335126333
Enrollment ID: I20150401000656
Provider NameManal M Schoellerman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821060724
PECOS PAC ID: 6608773361
Enrollment ID: I20150406001199
Provider NameJustin Ly
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770560542
PECOS PAC ID: 2264467190
Enrollment ID: I20150409001705
Provider NameVishal Verma
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881613586
PECOS PAC ID: 2264416999
Enrollment ID: I20150415002028
Provider NameSanjeevi Vridhachalam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598754459
PECOS PAC ID: 3274573480
Enrollment ID: I20150415002033
Provider NameJonathan P Coll
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679803977
PECOS PAC ID: 3779776539
Enrollment ID: I20150420000185
Provider NameMax Pollock
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427210855
PECOS PAC ID: 5294057303
Enrollment ID: I20150424001813
Provider NameKatharine Yoler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508830225
PECOS PAC ID: 1759365646
Enrollment ID: I20150427001448
Provider NameMarwah Helmy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841276730
PECOS PAC ID: 0446302079
Enrollment ID: I20150428000970
Provider NameJorge A Mendoza
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811152341
PECOS PAC ID: 6406004803
Enrollment ID: I20150428001787
Provider NameFarhad Khorashadi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750347316
PECOS PAC ID: 2668441882
Enrollment ID: I20150428002140
Provider NameRobert Brian Fortuna
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992719165
PECOS PAC ID: 6507867470
Enrollment ID: I20150429000195
Provider NameAvanee S Peel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164591616
PECOS PAC ID: 3173554441
Enrollment ID: I20150519002056
Provider NameLien N Doan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740518547
PECOS PAC ID: 0345560058
Enrollment ID: I20150520002388
Provider NameRyan A Frederiksen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922260033
PECOS PAC ID: 0446431753
Enrollment ID: I20150724010092
Provider NameJill Furubayashi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457587073
PECOS PAC ID: 7517186224
Enrollment ID: I20150826001722
Provider NameJason Shou
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245479054
PECOS PAC ID: 9638361272
Enrollment ID: I20150917000336
Provider NameDanielle Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679942338
PECOS PAC ID: 6507174604
Enrollment ID: I20151008001807
Provider NameShannon L Nowiski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518337799
PECOS PAC ID: 5597074062
Enrollment ID: I20151023000522
Provider NameDan Nguyen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750644977
PECOS PAC ID: 1456582329
Enrollment ID: I20151125000930
Provider NameFadi T Kasyouhanan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487094181
PECOS PAC ID: 5991936304
Enrollment ID: I20160620000524
Provider NameDavid L Stockman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1407086424
PECOS PAC ID: 0446477723
Enrollment ID: I20170109000332
Provider NameNicklaus M Bradley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942640636
PECOS PAC ID: 6002046109
Enrollment ID: I20170731002819
Provider NameAmanda L Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285143016
PECOS PAC ID: 4486920329
Enrollment ID: I20171020002746
Provider NameOmar Elhaj
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821103904
PECOS PAC ID: 0648289744
Enrollment ID: I20180410002621
Provider NameMarialba Romero Medina
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407040173
PECOS PAC ID: 4284939687
Enrollment ID: I20180524000242
Provider NameJessica S Peterson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851845408
PECOS PAC ID: 9436401957
Enrollment ID: I20181011001511
Provider NameOffiong F Ikpatt
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1841403367
PECOS PAC ID: 6406040070
Enrollment ID: I20190822000354
Provider NameJorel O Martinez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336553684
PECOS PAC ID: 7618271131
Enrollment ID: I20191203002113
Provider NameLaura R Parks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396234829
PECOS PAC ID: 1850656059
Enrollment ID: I20201218001808
Provider NameMajd Jundi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1306430665
PECOS PAC ID: 2961804620
Enrollment ID: I20210719000201
Provider NameJamie L Siemen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598029126
PECOS PAC ID: 2668877978
Enrollment ID: I20210825001858

Reviews and Comments


Family Medicine in Harbor Beach, MI

Jaime F Tan Md Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2235 S Lakeshore Rd, Harbor Beach, MI 48441
Phone: 989-479-2143    
Jaime F Tan Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 233 State St, Harbor Beach, MI 48441
Phone: 989-479-3111    
Concerned Outpatient Therapy
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 129 N 1st St, Harbor Beach, MI 48441
Phone: 989-479-3101    
Candelaria Castaneda, Md, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 729 Trescott St, Harbor Beach, MI 48441
Phone: 989-479-3116    Fax: 989-479-3860

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.