| Michigan Psychiatric & Primary Care Clinic, Pc | |
|
702 W Lake Lansing Rd East Lansing MI 48823-8526 | |
| (517) 332-5342 | |
| Not Available |
| Full Name | Michigan Psychiatric & Primary Care Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 W Lake Lansing Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Tham N Doan (MANAGER) |
| Authorized Official Contact | 5173325342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Psychiatric & Primary Care Clinic, Pc 702 W Lake Lansing Rd East Lansing MI 48823-8526 Ph: (517) 332-5342 | Michigan Psychiatric & Primary Care Clinic, Pc 702 W Lake Lansing Rd East Lansing MI 48823-8526 Ph: (517) 332-5342 |
| NPI Number | 1295383909 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 4688008873 |
|---|---|
| Medicare Enrollment ID | O20191220002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383909 | NPI | - | NPPES |
| Provider Name | Ronald C Melvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588627590 PECOS PAC ID: 6800700279 Enrollment ID: I20031119000068 |
| Provider Name | Ghiulser Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245203645 PECOS PAC ID: 4284525585 Enrollment ID: I20040324001022 |
| Provider Name | Megan E Hohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831475 PECOS PAC ID: 5496973869 Enrollment ID: I20140826002530 |
| Provider Name | Marcie E Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730146663 PECOS PAC ID: 9638478597 Enrollment ID: I20160427000582 |
| Provider Name | Jennifer Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376939926 PECOS PAC ID: 6103181771 Enrollment ID: I20180531002201 |
| Provider Name | Vy T Than |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466368 PECOS PAC ID: 1658623814 Enrollment ID: I20181016003277 |
| Provider Name | Tham N Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861986853 PECOS PAC ID: 2466791496 Enrollment ID: I20190308000458 |
| Provider Name | Joseph H Kalikow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891895603 PECOS PAC ID: 3173522026 Enrollment ID: I20200428001410 |
| Provider Name | Kimberly A Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679049308 PECOS PAC ID: 7911329347 Enrollment ID: I20200612000127 |
| Provider Name | Kelly Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033706981 PECOS PAC ID: 7315346269 Enrollment ID: I20210525002562 |
| Provider Name | Crystal Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636982 PECOS PAC ID: 3274938725 Enrollment ID: I20210820001436 |
| Provider Name | Eric Ryan Dachtler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922739218 PECOS PAC ID: 5698156891 Enrollment ID: I20220719003816 |
| Provider Name | Katherine Rachael Frasier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053937862 PECOS PAC ID: 7911380241 Enrollment ID: I20220818001393 |
| Provider Name | Erin Elizabeth Woelmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790463701 PECOS PAC ID: 0840652806 Enrollment ID: I20230808004068 |
| Provider Name | Michael Perry Bailey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013046150 PECOS PAC ID: 1254784713 Enrollment ID: I20240131003204 |
Gary H. Dwight, D.d.s., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-333-9500 Fax: 517-333-9509 | |
Courageous Transformation Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Coolidge Rd, East Lansing, MI 48823 Phone: 517-234-2340 Fax: 517-234-2343 | |
Edward W. Sparrow Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Hannah Blvd, Suite 216, East Lansing, MI 48823 Phone: 517-364-8100 | |
Full Spectrum Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Abbot Rd, Suite 100, East Lansing, MI 48823 Phone: 517-333-3550 Fax: 517-333-8774 | |
Family Care Practice Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Watertower Pl, Suite 700, East Lansing, MI 48823 Phone: 517-253-0539 Fax: 517-253-0536 | |
Edward W Sparrow Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Hannah Blvd Ste 104, East Lansing, MI 48823 Phone: 517-364-8000 Fax: 517-364-8001 | |
Nuvoair Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1760 Abbey Rd Fl 2, East Lansing, MI 48823 Phone: 888-915-0624 |