| Munson Healthcare Cadillac | |
| 
					100 N Roland St Mc Bain MI 49657-9683  | |
| (231) 825-8101 | |
| Not Available | 
| Full Name | Munson Healthcare Cadillac | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 100 N Roland St, Mc Bain, Michigan | 
| Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) | 
| Authorized Official Contact | 2319354995 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Munson Healthcare Cadillac 3782 Momentum Pl Chicago IL 60689-5337 Ph: () -  | Munson Healthcare Cadillac 100 N Roland St Mc Bain MI 49657-9683 Ph: (231) 825-8101  | 
| NPI Number | 1336539063 | 
|---|---|
| Provider Enumeration Date | 02/03/2015 | 
| Last Update Date | 10/02/2024 | 
| Medicare PECOS PAC ID | 6305161514 | 
|---|---|
| Medicare Enrollment ID | O20150401000808 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336539063 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
| Provider Name | Christina Dalton Pryde | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1033103874 PECOS PAC ID: 9638068125 Enrollment ID: I20040312000648  | 
| Provider Name | Marianne Dickerson | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1609872324 PECOS PAC ID: 0749274082 Enrollment ID: I20040412000250  | 
| Provider Name | David H Payne | 
|---|---|
| Provider Type | Practitioner - Pulmonary Disease | 
| Provider Identifiers | NPI Number: 1063588168 PECOS PAC ID: 5698760171 Enrollment ID: I20040415000259  | 
| Provider Name | Gregory Lambourne | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1598775850 PECOS PAC ID: 0143218339 Enrollment ID: I20040505000971  | 
| Provider Name | Margaret Rabish | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1336230481 PECOS PAC ID: 3870582141 Enrollment ID: I20040512000691  | 
| Provider Name | Martha A Frankowski | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1003887290 PECOS PAC ID: 9133110885 Enrollment ID: I20040520001256  | 
| Provider Name | Jeffrey W Wilder | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20040605000130  | 
| Provider Name | Heidi L Rohloff | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679551006 PECOS PAC ID: 4183699986 Enrollment ID: I20040826000313  | 
| Provider Name | Stephen Welsh | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1609829951 PECOS PAC ID: 1850367897 Enrollment ID: I20040909001183  | 
| Provider Name | Diana L Novak | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1053362186 PECOS PAC ID: 1355319633 Enrollment ID: I20040923001003  | 
| Provider Name | Michael D Engel | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1386606671 PECOS PAC ID: 2163491580 Enrollment ID: I20041001000015  | 
| Provider Name | Catherine M Balanda | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679550164 PECOS PAC ID: 9638122021 Enrollment ID: I20050225000153  | 
| Provider Name | Stephanie I Fleming | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1760450597 PECOS PAC ID: 1052355278 Enrollment ID: I20050617000335  | 
| Provider Name | Lynne Mccormick | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1194779983 PECOS PAC ID: 5496790917 Enrollment ID: I20050624000880  | 
| Provider Name | James G Milliken | 
|---|---|
| Provider Type | Practitioner - Pulmonary Disease | 
| Provider Identifiers | NPI Number: 1467459867 PECOS PAC ID: 4981619137 Enrollment ID: I20060209000526  | 
| Provider Name | Dana L Hoffman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992749279 PECOS PAC ID: 9638182736 Enrollment ID: I20060712000268  | 
| Provider Name | Nathan A Rousse | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356353791 PECOS PAC ID: 0749284792 Enrollment ID: I20060905000338  | 
| Provider Name | Marian Roberta-bentley Fuller | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1225053366 PECOS PAC ID: 2163427147 Enrollment ID: I20060926000190  | 
| Provider Name | Nathan Craig Boss | 
|---|---|
| Provider Type | Practitioner - Pulmonary Disease | 
| Provider Identifiers | NPI Number: 1699794958 PECOS PAC ID: 0042216483 Enrollment ID: I20061009000138  | 
| Provider Name | Marla D Vance | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1437141330 PECOS PAC ID: 2769587369 Enrollment ID: I20070410000225  | 
| Provider Name | William H George | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1205839131 PECOS PAC ID: 9638260870 Enrollment ID: I20070802000339  | 
| Provider Name | Susan Lanser | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1740280965 PECOS PAC ID: 6800987041 Enrollment ID: I20070802000344  | 
| Provider Name | Lori Ann Booms | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265432330 PECOS PAC ID: 2567553548 Enrollment ID: I20070806000300  | 
| Provider Name | Lori Crago | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1144223868 PECOS PAC ID: 0840381612 Enrollment ID: I20070808000421  | 
| Provider Name | Douglas E Cox | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1295738060 PECOS PAC ID: 7214028091 Enrollment ID: I20070808000507  | 
| Provider Name | Despina Zefiras Walsworth | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1265554216 PECOS PAC ID: 2567558406 Enrollment ID: I20071023000559  | 
| Provider Name | Brian R Drabik | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1427007301 PECOS PAC ID: 8628165461 Enrollment ID: I20071026000145  | 
| Provider Name | Zachary Hector Word | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1316064041 PECOS PAC ID: 1557446051 Enrollment ID: I20080307000414  | 
| Provider Name | Kendra G Worden | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972772259 PECOS PAC ID: 7517044100 Enrollment ID: I20080407000515  | 
| Provider Name | Lois Neering | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215108584 PECOS PAC ID: 3476632555 Enrollment ID: I20080430000460  | 
| Provider Name | Nelson Roberto Pou | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1851499941 PECOS PAC ID: 1951472042 Enrollment ID: I20080617000639  | 
| Provider Name | Laris Edgar Galejs | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1053304600 PECOS PAC ID: 8820095359 Enrollment ID: I20081125000706  | 
| Provider Name | Diana Curran | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1831156165 PECOS PAC ID: 9234026642 Enrollment ID: I20081209000300  | 
| Provider Name | Laura M Doherty | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1629123435 PECOS PAC ID: 2062578073 Enrollment ID: I20090226000576  | 
| Provider Name | William E Weiner | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1598782443 PECOS PAC ID: 2264571496 Enrollment ID: I20091202000123  | 
| Provider Name | John P Krcmarik | 
|---|---|
| Provider Type | Practitioner - Pulmonary Disease | 
| Provider Identifiers | NPI Number: 1932106531 PECOS PAC ID: 9638279151 Enrollment ID: I20100724000080  | 
| Provider Name | Jennifer M Piwowarski | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1811149115 PECOS PAC ID: 0648465286 Enrollment ID: I20101109001173  | 
| Provider Name | Lindsay Leigh Oliveira | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1942427935 PECOS PAC ID: 9931267101 Enrollment ID: I20110121000649  | 
| Provider Name | Heather Lynn Nolan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558651125 PECOS PAC ID: 7618153172 Enrollment ID: I20110517000718  | 
| Provider Name | Keith W Eaton | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1457589053 PECOS PAC ID: 5092984203 Enrollment ID: I20110804000255  | 
| Provider Name | Paul Bizzigotti | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1770500332 PECOS PAC ID: 5496796609 Enrollment ID: I20111212000396  | 
| Provider Name | Nabil Elie Khoury | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1497836548 PECOS PAC ID: 4385811603 Enrollment ID: I20120126000752  | 
| Provider Name | Hillary A Loomis King | 
|---|---|
| Provider Type | Practitioner - Pulmonary Disease | 
| Provider Identifiers | NPI Number: 1346404068 PECOS PAC ID: 3173788023 Enrollment ID: I20120627000798  | 
| Provider Name | Marshall T Poole | 
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation | 
| Provider Identifiers | NPI Number: 1144482712 PECOS PAC ID: 1850547522 Enrollment ID: I20120813000210  | 
| Provider Name | Theresa S Hansen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639427024 PECOS PAC ID: 7113176264 Enrollment ID: I20121004000354  | 
| Provider Name | Mara L Mckinley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518244912 PECOS PAC ID: 1456503754 Enrollment ID: I20121213000302  | 
| Provider Name | Joshua M Ruch | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1770746257 PECOS PAC ID: 1052558053 Enrollment ID: I20130717000466  | 
| Provider Name | Michael D Peacock | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1104145200 PECOS PAC ID: 6406005594 Enrollment ID: I20130917000267  | 
| Provider Name | Michael S Mitry | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1831362425 PECOS PAC ID: 2567612443 Enrollment ID: I20130920000577  | 
| Provider Name | Paul J Spilotro | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933  | 
| Provider Name | Thomas V Ohagan | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1124273958 PECOS PAC ID: 4183858269 Enrollment ID: I20131002000603  | 
| Provider Name | Randa S Mccall | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1487080339 PECOS PAC ID: 2668601071 Enrollment ID: I20140205001638  | 
| Provider Name | Nicole K Gill | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093865032 PECOS PAC ID: 4284818634 Enrollment ID: I20140306001408  | 
| Provider Name | Tami Jean Hiser | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467740878 PECOS PAC ID: 2264604099 Enrollment ID: I20140617002423  | 
| Provider Name | Todd L Galdes | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1376703868 PECOS PAC ID: 6406095470 Enrollment ID: I20140828001256  | 
| Provider Name | Jay M Ruddy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255756375 PECOS PAC ID: 2365662152 Enrollment ID: I20140929002232  | 
| Provider Name | Shaun C Ramsey | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1245594910 PECOS PAC ID: 4880917897 Enrollment ID: I20141224001096  | 
| Provider Name | Barbara S Ames | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598155020 PECOS PAC ID: 7214249374 Enrollment ID: I20150701001838  | 
| Provider Name | Mark Salvatore Dangelo | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1730312240 PECOS PAC ID: 2668691296 Enrollment ID: I20150722005926  | 
| Provider Name | Yelena E Kier | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1659532034 PECOS PAC ID: 9335329358 Enrollment ID: I20150825003547  | 
| Provider Name | Mallorie Mccomb | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1538538251 PECOS PAC ID: 9537478177 Enrollment ID: I20151021000977  | 
| Provider Name | Julie Comfort | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215308036 PECOS PAC ID: 3476857533 Enrollment ID: I20160210000634  | 
| Provider Name | Stephen R Ereg | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235504945 PECOS PAC ID: 8123323888 Enrollment ID: I20160218000927  | 
| Provider Name | Michael D Susalla | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1780942680 PECOS PAC ID: 4981910551 Enrollment ID: I20160706002237  | 
| Provider Name | Joseph P Ward | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1902127764 PECOS PAC ID: 5294968665 Enrollment ID: I20160711000375  | 
| Provider Name | George Edward Miller | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1578829149 PECOS PAC ID: 0446552921 Enrollment ID: I20160714001328  | 
| Provider Name | Steven Brennan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1487093589 PECOS PAC ID: 5890089536 Enrollment ID: I20160803002179  | 
| Provider Name | Kristian M Koller | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1760793368 PECOS PAC ID: 6305130238 Enrollment ID: I20160816000100  | 
| Provider Name | Rebecca A Otten | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1013355353 PECOS PAC ID: 6305168451 Enrollment ID: I20160906000417  | 
| Provider Name | Timothy J Huschke | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1982692521 PECOS PAC ID: 1658458435 Enrollment ID: I20160908001081  | 
| Provider Name | Kelly R Donovan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1215373451 PECOS PAC ID: 7012203649 Enrollment ID: I20160908001375  | 
| Provider Name | James M Diener | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1588004915 PECOS PAC ID: 6002135720 Enrollment ID: I20160914001961  | 
| Provider Name | Melvin M Vallette | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083160246 PECOS PAC ID: 7517255672 Enrollment ID: I20161005002813  | 
| Provider Name | Lydia Mayida | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1992921894 PECOS PAC ID: 4981883139 Enrollment ID: I20170428001409  | 
| Provider Name | William J Kanitz | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1871907899 PECOS PAC ID: 5799900817 Enrollment ID: I20170628003419  | 
| Provider Name | Jennifer P Brown | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1669981742 PECOS PAC ID: 9032478862 Enrollment ID: I20180124000101  | 
| Provider Name | Craig A Derror | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124366950 PECOS PAC ID: 0446512925 Enrollment ID: I20180321000683  | 
| Provider Name | Jordon Alexander Baker | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467954784 PECOS PAC ID: 2466715164 Enrollment ID: I20180411000524  | 
| Provider Name | Bruce S Daman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1780191478 PECOS PAC ID: 8426311655 Enrollment ID: I20180420001347  | 
| Provider Name | Abdul M Malik | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1952300584 PECOS PAC ID: 7315002979 Enrollment ID: I20180925002370  | 
| Provider Name | Matthew J Dubiel | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1114280898 PECOS PAC ID: 7911135256 Enrollment ID: I20181008001654  | 
| Provider Name | Jacob R Deboni | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578036091 PECOS PAC ID: 7810235488 Enrollment ID: I20190207000516  | 
| Provider Name | Georgia Olga Pozios | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013449859 PECOS PAC ID: 4486997863 Enrollment ID: I20190529000516  | 
| Provider Name | Hope Jane Mitchell | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1245741628 PECOS PAC ID: 2769740695 Enrollment ID: I20190710000618  | 
| Provider Name | Phoebe Day Danziger | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1669885125 PECOS PAC ID: 4183931165 Enrollment ID: I20190912000243  | 
| Provider Name | Bobak Rahmanian | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1124068325 PECOS PAC ID: 5890715643 Enrollment ID: I20190917003337  | 
| Provider Name | Bridgette Mary-catherine Radak | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013552785 PECOS PAC ID: 5193151553 Enrollment ID: I20200203000887  | 
| Provider Name | Lindsey Marie Ranstadler | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033674072 PECOS PAC ID: 3375970114 Enrollment ID: I20200217004268  | 
| Provider Name | Ferris Alkazir | 
|---|---|
| Provider Type | Practitioner - Sleep Medicine | 
| Provider Identifiers | NPI Number: 1053757849 PECOS PAC ID: 3476785213 Enrollment ID: I20200319002106  | 
| Provider Name | Jacob James Ballard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558993667 PECOS PAC ID: 2163850322 Enrollment ID: I20200322000164  | 
| Provider Name | Shannon Marie Hicks | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871143685 PECOS PAC ID: 2365871209 Enrollment ID: I20200329000366  | 
| Provider Name | Justin C Bedford | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1356874838 PECOS PAC ID: 7911275847 Enrollment ID: I20200605002001  | 
| Provider Name | Ahmed Mirza | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407320559 PECOS PAC ID: 0840530341 Enrollment ID: I20200716002927  | 
| Provider Name | Jacob Szafranski | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1407383615 PECOS PAC ID: 5698191013 Enrollment ID: I20200817001462  | 
| Provider Name | Carl Tabb | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1982059242 PECOS PAC ID: 7517258452 Enrollment ID: I20200825002826  | 
| Provider Name | William E L Reichardt | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1194174789 PECOS PAC ID: 7517254378 Enrollment ID: I20210122001784  | 
| Provider Name | Stacy Moniz | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740819499 PECOS PAC ID: 7719391549 Enrollment ID: I20210205001333  | 
| Provider Name | Tammy Radionoff | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245719194 PECOS PAC ID: 2163844184 Enrollment ID: I20210224001336  | 
| Provider Name | Carly Batcha | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1952996159 PECOS PAC ID: 5890103642 Enrollment ID: I20210416000814  | 
| Provider Name | Yelena Davis | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1851812929 PECOS PAC ID: 7618247149 Enrollment ID: I20210607001748  | 
| Provider Name | Jack Zuckerman | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1508093428 PECOS PAC ID: 3476773938 Enrollment ID: I20210610001538  | 
| Provider Name | Michael Vanwagner | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1639551559 PECOS PAC ID: 7810200797 Enrollment ID: I20210615001312  | 
| Provider Name | Darla Balas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912357096 PECOS PAC ID: 6608160080 Enrollment ID: I20210929002792  | 
| Provider Name | George T Contos | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20220218001780  | 
| Provider Name | Lauren Ashley Nickerson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467113399 PECOS PAC ID: 3577958586 Enrollment ID: I20220309001960  | 
| Provider Name | Diana Elizabeth Bischer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1629693791 PECOS PAC ID: 1456738376 Enrollment ID: I20220516001608  | 
| Provider Name | Emily Katherine Nelson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962133587 PECOS PAC ID: 2769863901 Enrollment ID: I20220719001279  | 
| Provider Name | Makenzie Tremp | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1891284360 PECOS PAC ID: 6507233053 Enrollment ID: I20221114000563  | 
| Provider Name | Nicole Kanomata | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1366165102 PECOS PAC ID: 5092184259 Enrollment ID: I20221209000521  | 
| Provider Name | Jennifer Ghering-throop | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1285089904 PECOS PAC ID: 4082084397 Enrollment ID: I20230103001119  | 
| Provider Name | Amy Norene Popa | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164128807 PECOS PAC ID: 9931572336 Enrollment ID: I20230306002475  | 
| Provider Name | Stephanie Lee Mccarthy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699419960 PECOS PAC ID: 8123493558 Enrollment ID: I20230417001256  | 
| Provider Name | Michael Sand | 
|---|---|
| Provider Type | Practitioner - Sleep Medicine | 
| Provider Identifiers | NPI Number: 1932552148 PECOS PAC ID: 6103110820 Enrollment ID: I20230523001717  | 
| Provider Name | Elizabeth Lynnelle Godfrey | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1063041465 PECOS PAC ID: 5294195764 Enrollment ID: I20230714003233  | 
| Provider Name | Rachel Ann Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255016416 PECOS PAC ID: 0749641322 Enrollment ID: I20230728002468  | 
| Provider Name | Donald Scholten | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1386176964 PECOS PAC ID: 2062782964 Enrollment ID: I20230829001145  | 
| Provider Name | Haley G Hathaway | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1811775448 PECOS PAC ID: 0345695797 Enrollment ID: I20231005000398  | 
| Provider Name | Caitlin Buren | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215637814 PECOS PAC ID: 2567811136 Enrollment ID: I20231207001946  | 
| Provider Name | Joseph Howells | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1861837304 PECOS PAC ID: 1052533684 Enrollment ID: I20231215003126  | 
| Provider Name | Amanda E Linnee | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1548977986 PECOS PAC ID: 5799125266 Enrollment ID: I20240501000622  | 
| Provider Name | Destiny Rebecca Aldred | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1386287704 PECOS PAC ID: 9133561582 Enrollment ID: I20240530002133  | 
| Provider Name | Cory Messingschlager | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1245723527 PECOS PAC ID: 1951658087 Enrollment ID: I20240724000257  | 
| Provider Name | Jacob Maclean | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1902393994 PECOS PAC ID: 9931445129 Enrollment ID: I20240829004535  | 
| Provider Name | Matthew Schuch | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1457857138 PECOS PAC ID: 8224384185 Enrollment ID: I20241001001600  | 
James R. Wilson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Hughston St, Mc Bain, MI 49657 Phone: 231-775-6076 Fax: 231-775-0027  | |
Munson Healthcare Cadillac Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Roland St, Mc Bain, MI 49657 Phone: 231-825-8101 Fax: 231-825-8104  | |
Wexford Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161  | |
Mercy Hospital Cadillac Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Roland St, Mc Bain, MI 49657 Phone: 231-876-6200  | |
Baldwin Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161  |