| Mid Michigan Medical Corporation Pc | |
|
863 N Pine Rd Suite E Essexville MI 48732-2159 | |
| (989) 895-8514 | |
| (989) 895-8516 |
| Full Name | Mid Michigan Medical Corporation Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 863 N Pine Rd, Essexville, Michigan |
| Authorized Official Name and Position | James Joseph (OWNER) |
| Authorized Official Contact | 9898955090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Michigan Medical Corporation Pc 863 N Pine Rd Suite E Essexville MI 48732-2159 Ph: (989) 895-5090 | Mid Michigan Medical Corporation Pc 863 N Pine Rd Suite E Essexville MI 48732-2159 Ph: (989) 895-8514 |
| NPI Number | 1972965473 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 5698073104 |
|---|---|
| Medicare Enrollment ID | O20160418000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972965473 | NPI | - | NPPES |
| 7706200001 | Other | MI | MEDICARE NSC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | James A Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20160422001527 |
| Provider Name | Stephanie Bovee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346697240 PECOS PAC ID: 4284925637 Enrollment ID: I20160615001989 |
Redimed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1458 W Center Rd, Essexville, MI 48732 Phone: 989-895-4860 Fax: 989-895-4870 | |
Mclaren Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 W Center Rd Ste 5, Essexville, MI 48732 Phone: 989-895-4625 Fax: 989-895-4626 |