| Mcbain Primary Care | |
|
100 N Roland St Mc Bain MI 49657-9683 | |
| (231) 825-8101 | |
| Not Available |
| Full Name | Mcbain Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Roland St, Mc Bain, Michigan |
| Authorized Official Name and Position | Michael Frye (PRESIDENT AMB AND BUS) |
| Authorized Official Contact | 7044588010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcbain Primary Care 1105 Sixth St Traverse City MI 49684-2300 | Mcbain Primary Care 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 | 07/27/2026 |
| Certification Date | 07/27/2026 |
| 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 | () | Primary |
| Provider Name | Curtis Albert Cummins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144390980 PECOS PAC ID: 2668386111 Enrollment ID: I20031118000694 |
| 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 | 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 | Jeffrey W Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20040605000130 |
| Provider Name | Kersti M Bruining |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558364315 PECOS PAC ID: 8224018320 Enrollment ID: I20040721000105 |
| 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 | Sarah J Finstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972549376 PECOS PAC ID: 3072520253 Enrollment ID: I20060313000599 |
| 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 | Frederick Kaspriak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497840938 PECOS PAC ID: 0143325092 Enrollment ID: I20070420000426 |
| Provider Name | Leon R Demers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598700973 PECOS PAC ID: 7214038595 Enrollment ID: I20070731000410 |
| 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 | Lori F Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952474512 PECOS PAC ID: 4587759832 Enrollment ID: I20071001000715 |
| 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 | Peter C Kohler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477520872 PECOS PAC ID: 9638259047 Enrollment ID: I20080110000102 |
| Provider Name | Zachary Hector Word |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316064041 PECOS PAC ID: 1557446051 Enrollment ID: I20080307000414 |
| Provider Name | Stephanie L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609955400 PECOS PAC ID: 4688750813 Enrollment ID: I20080327000521 |
| 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 | David P Michelin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1831180140 PECOS PAC ID: 5496834541 Enrollment ID: I20080501000049 |
| Provider Name | Stephen Henry Oklat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568658607 PECOS PAC ID: 1951480821 Enrollment ID: I20080502000482 |
| 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 | Andrew W Freeborn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508190851 PECOS PAC ID: 6901944453 Enrollment ID: I20091104000034 |
| Provider Name | William E Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598782443 PECOS PAC ID: 2264571496 Enrollment ID: I20091202000123 |
| Provider Name | Joseph W Rawlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306904842 PECOS PAC ID: 5799810990 Enrollment ID: I20100312000585 |
| Provider Name | Jennifer M Piwowarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811149115 PECOS PAC ID: 0648465286 Enrollment ID: I20101109001173 |
| Provider Name | Kelly J Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487806717 PECOS PAC ID: 8921293531 Enrollment ID: I20101110000163 |
| 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 | Danielle a Begin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568731552 PECOS PAC ID: 2466611801 Enrollment ID: I20120305000513 |
| Provider Name | Carley T Flegler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861762122 PECOS PAC ID: 1850553090 Enrollment ID: I20120503000563 |
| Provider Name | Jaime D Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134303886 PECOS PAC ID: 7113001439 Enrollment ID: I20120518000271 |
| 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 | Thomas E Hartwig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982865382 PECOS PAC ID: 1052567468 Enrollment ID: I20120816000857 |
| Provider Name | Andrew J Riddle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215059670 PECOS PAC ID: 8527219286 Enrollment ID: I20121107000119 |
| Provider Name | Mara L Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518244912 PECOS PAC ID: 1456503754 Enrollment ID: I20121213000302 |
| Provider Name | Kristin Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023451887 PECOS PAC ID: 6608015672 Enrollment ID: I20130624000411 |
| Provider Name | Joshua M Ruch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770746257 PECOS PAC ID: 1052558053 Enrollment ID: I20130717000466 |
| Provider Name | Rachel H Plum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480934 PECOS PAC ID: 3375786288 Enrollment ID: I20130826000035 |
| 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 | Susan M Cogswell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497183248 PECOS PAC ID: 6901033604 Enrollment ID: I20131227001497 |
| 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 | Thomas Robert Harding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194837336 PECOS PAC ID: 8527075787 Enrollment ID: I20140310000136 |
| Provider Name | Tami Jean Hiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467740878 PECOS PAC ID: 2264604099 Enrollment ID: I20140617002423 |
| Provider Name | Andrew C Luea |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154558104 PECOS PAC ID: 8022232644 Enrollment ID: I20140620001157 |
| 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 M Eisengruber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336432764 PECOS PAC ID: 6507189941 Enrollment ID: I20141216001675 |
| 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 | Cole W Strange |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518323716 PECOS PAC ID: 5193029429 Enrollment ID: I20160208001208 |
| Provider Name | Kori David Marvin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063878973 PECOS PAC ID: 5193029338 Enrollment ID: I20160208001837 |
| 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 | Kevin Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124484985 PECOS PAC ID: 7214233287 Enrollment ID: I20160317000774 |
| 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 | Gwendolyn M Gravelie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058737 PECOS PAC ID: 1355654872 Enrollment ID: I20160712001665 |
| 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 | Shoba S Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539149 PECOS PAC ID: 0648564229 Enrollment ID: I20160804000531 |
| 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 | Michael L Eaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326440413 PECOS PAC ID: 1557583291 Enrollment ID: I20170126000464 |
| Provider Name | Lydia Mushonga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992921894 PECOS PAC ID: 4981883139 Enrollment ID: I20170428001409 |
| Provider Name | Kristin Marie Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336667732 PECOS PAC ID: 9537433636 Enrollment ID: I20170927002511 |
| 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 | Christopher Michael Archangeli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972948602 PECOS PAC ID: 3971898222 Enrollment ID: I20180702002397 |
| Provider Name | Molly a Britton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891113148 PECOS PAC ID: 8921321290 Enrollment ID: I20180711000432 |
| Provider Name | Natalie L Ducastel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150460 PECOS PAC ID: 7618226531 Enrollment ID: I20180824002285 |
| 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 | Savannah L Britten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346712288 PECOS PAC ID: 2860730322 Enrollment ID: I20190208001729 |
| 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 | Hannah Popa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457913337 PECOS PAC ID: 9739418898 Enrollment ID: I20190916000771 |
| Provider Name | Bobak Rahmanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124068325 PECOS PAC ID: 5890715643 Enrollment ID: I20190917003337 |
| Provider Name | Murphy Lauren Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699332668 PECOS PAC ID: 8022340025 Enrollment ID: I20191024000377 |
| 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 | Melisa Ann Ardis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619517620 PECOS PAC ID: 9234566894 Enrollment ID: I20200221000374 |
| 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 | Erin R Booms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599307 PECOS PAC ID: 7214367259 Enrollment ID: I20200415001837 |
| Provider Name | Justin C Bedford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356874838 PECOS PAC ID: 7911275847 Enrollment ID: I20200605002001 |
| Provider Name | Page Kimber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457702359 PECOS PAC ID: 9032532122 Enrollment ID: I20200708001392 |
| 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 | Mary Mckuen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679921498 PECOS PAC ID: 0042501652 Enrollment ID: I20201229002433 |
| 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 | 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 | Dominik Wiest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215563267 PECOS PAC ID: 1557780962 Enrollment ID: I20210729002813 |
| Provider Name | Darla Balas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912357096 PECOS PAC ID: 6608160080 Enrollment ID: I20210929002792 |
| Provider Name | Alexandra I Tepkasetkul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770013203 PECOS PAC ID: 4587934096 Enrollment ID: I20211231000025 |
| Provider Name | Emily R Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891467825 PECOS PAC ID: 3870986011 Enrollment ID: I20220210000609 |
| Provider Name | Erin Marie Barnum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275147423 PECOS PAC ID: 2961896378 Enrollment ID: I20220301001758 |
| Provider Name | Lauren Ashley Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113399 PECOS PAC ID: 3577958586 Enrollment ID: I20220309001960 |
| Provider Name | Caitlyn Zeitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013664150 PECOS PAC ID: 2961897723 Enrollment ID: I20220315001478 |
| Provider Name | Annalise V Pline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598418386 PECOS PAC ID: 3870988942 Enrollment ID: I20220328002031 |
| Provider Name | Emily Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568083558 PECOS PAC ID: 4789007949 Enrollment ID: I20220414000700 |
| Provider Name | Diana Elizabeth Bischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629693791 PECOS PAC ID: 1456738376 Enrollment ID: I20220516001608 |
| Provider Name | Michael Opperman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427554310 PECOS PAC ID: 9234484569 Enrollment ID: I20220526001060 |
| Provider Name | Vijay Krishna Manne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265850440 PECOS PAC ID: 6901025642 Enrollment ID: I20220718001192 |
| 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 | Cody Alan Overmyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477059160 PECOS PAC ID: 9739438169 Enrollment ID: I20230621000433 |
| 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 | Brittney Harding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174086268 PECOS PAC ID: 1456742980 Enrollment ID: I20230929003128 |
| Provider Name | Haley G Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811775448 PECOS PAC ID: 0345695797 Enrollment ID: I20231005000398 |
| Provider Name | Sonny Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215610779 PECOS PAC ID: 5698122240 Enrollment ID: I20231103002366 |
| 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 | Michael Mcdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457892879 PECOS PAC ID: 5395014146 Enrollment ID: I20231228000461 |
| 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 | Miriam Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689230476 PECOS PAC ID: 6204162787 Enrollment ID: I20240702000759 |
| 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 | Sally Shevlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770840233 PECOS PAC ID: 7113189457 Enrollment ID: I20240906000164 |
| Provider Name | Matthew Schuch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457857138 PECOS PAC ID: 8224384185 Enrollment ID: I20241001001600 |
| Provider Name | Grace Breuer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699331199 PECOS PAC ID: 8325374986 Enrollment ID: I20241212001772 |
| Provider Name | Wayte Davill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043950470 PECOS PAC ID: 4082129747 Enrollment ID: I20250714000470 |
| Provider Name | Hugh S Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659663219 PECOS PAC ID: 1456837996 Enrollment ID: I20260114002448 |
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 |
Mcbain Primary Care 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 |
Baldwin Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161 |
Great Lakes Family Care 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 |
Mcbain Primary Care a Services of Otsego Memorial Hospital 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 |
Mercy Cadillac Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Roland St, Mc Bain, MI 49657 Phone: 231-876-6200 |