| Mi Primary Care, Pllc | |
|
4950 E Blue Grass Rd Mt Pleasant MI 48858-6020 | |
| (989) 817-4640 | |
| (833) 974-2264 |
| Full Name | Mi Primary Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4950 E Blue Grass Rd, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Roberta S Hahn (MANAGER) |
| Authorized Official Contact | 9893034101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Primary Care, Pllc 4950 E Blue Grass Rd Mt Pleasant MI 48858-6020 Ph: (989) 817-4640 | Mi Primary Care, Pllc 4950 E Blue Grass Rd Mt Pleasant MI 48858-6020 Ph: (989) 817-4640 |
| NPI Number | 1104441302 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 4486070489 |
|---|---|
| Medicare Enrollment ID | O20200821000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104441302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jose L Raygada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063623981 PECOS PAC ID: 4587716824 Enrollment ID: I20090716000468 |
| Provider Name | Larry M Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132038 PECOS PAC ID: 6800067836 Enrollment ID: I20110922000272 |
| Provider Name | Roberta S Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936866 PECOS PAC ID: 5799078721 Enrollment ID: I20160727002618 |
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