| Mymichigan Medical Center Clare | |
|
703 N Mcewan St Clare MI 48617-1440 | |
| (989) 802-5000 | |
| (989) 839-1304 |
| Full Name | Mymichigan Medical Center Clare |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 703 N Mcewan St, Clare, Michigan |
| Authorized Official Name and Position | Amanda M Peirce (MANAGER) |
| Authorized Official Contact | 9893567597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymichigan Medical Center Clare 703 N Mcewan St Clare MI 48617-1440 Ph: (989) 802-5000 | Mymichigan Medical Center Clare 703 N Mcewan St Clare MI 48617-1440 Ph: (989) 802-5000 |
| NPI Number | 1417084278 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 02/14/2023 |
| Medicare PECOS PAC ID | 7012829773 |
|---|---|
| Medicare Enrollment ID | O20040424000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417084278 | NPI | - | NPPES |
| 430A860480 | Other | MI | BL SHIELD GROUP CRNA |
| 010A860040 | Other | MI | BLUE SHIELD MIXED GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Primary |
| Provider Name | Russell G Rader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629023403 PECOS PAC ID: 8426942095 Enrollment ID: I20040212000932 |
| Provider Name | Edwardo Thomas Munoz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770546608 PECOS PAC ID: 1658261490 Enrollment ID: I20040317000131 |
| Provider Name | Richard De Fluiter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518903442 PECOS PAC ID: 1951391549 Enrollment ID: I20040515000112 |
| Provider Name | Christopher W Kesting |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780650929 PECOS PAC ID: 7315929122 Enrollment ID: I20040604000637 |
| Provider Name | Eric W Houk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952380487 PECOS PAC ID: 7810974870 Enrollment ID: I20040707000843 |
| Provider Name | Scott D Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972560803 PECOS PAC ID: 5597772962 Enrollment ID: I20060309000133 |
| Provider Name | Jeffery Joseph Hanover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942390661 PECOS PAC ID: 3577665827 Enrollment ID: I20070216000560 |
| Provider Name | Laurie L Shively |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477707347 PECOS PAC ID: 4082777644 Enrollment ID: I20090108000666 |
| Provider Name | Kristin M Short |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730414079 PECOS PAC ID: 4789723974 Enrollment ID: I20091201000423 |
| Provider Name | Kelly M Mathison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073881629 PECOS PAC ID: 4789846411 Enrollment ID: I20120425000731 |
| Provider Name | Scott J Mango |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720414949 PECOS PAC ID: 1557590585 Enrollment ID: I20140214000604 |
| Provider Name | Tammy L Weckerly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376944371 PECOS PAC ID: 3678795549 Enrollment ID: I20141107001720 |
Mymichigan Medical Center Clare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 | |
Mymichigan Urgent Care Clare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 602 Beech St Ste 1100, Clare, MI 48617 Phone: 989-386-9911 | |
Clare Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W 5th St, Clare, MI 48617 Phone: 989-386-9911 | |
Mymichigan Medical Center Clare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 602 Beech St, Clare, MI 48617 Phone: 989-802-5120 | |
Farwell Family Medicine Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10256 N Whiteville Rd, Clare, MI 48617 Phone: 989-386-7982 Fax: 989-386-4232 | |
Midmichigan Medical Offices - Sixth & Maple Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 W 6th St, Clare, MI 48617 Phone: 989-802-5030 |