| Mymichigan Medical Center Alma | |
|
320 E Warwick Dr Suite B Alma MI 48801-1014 | |
| (989) 466-7191 | |
| (989) 463-0663 |
| Full Name | Mymichigan Medical Center Alma |
|---|---|
| Speciality | Family Medicine |
| Location | 320 E Warwick Dr, Alma, Michigan |
| Authorized Official Name and Position | Amanda M Peirce (MANAGER PATIENT ACCOUNTS) |
| 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 Alma 4000 Wellness Dr Midland MI 48670-2000 Ph: () - | Mymichigan Medical Center Alma 320 E Warwick Dr Suite B Alma MI 48801-1014 Ph: (989) 466-7191 |
| NPI Number | 1265596126 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 3375451404 |
|---|---|
| Medicare Enrollment ID | O20040202000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265596126 | NPI | - | NPPES |
| 0C71000 | Other | MI | BCBSM GROUP NUMBER |
| Provider Name | Nabil J Bahu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881631638 PECOS PAC ID: 2062316540 Enrollment ID: I20031125000883 |
| Provider Name | Elie M Obeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770517534 PECOS PAC ID: 9133013105 Enrollment ID: I20040211000021 |
| Provider Name | Donald G Prouty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194765198 PECOS PAC ID: 8022905678 Enrollment ID: I20040301000161 |
| Provider Name | Lorenzo D Berlanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063487411 PECOS PAC ID: 9830184266 Enrollment ID: I20040806001248 |
| Provider Name | Martin T Lougen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528133659 PECOS PAC ID: 0446210256 Enrollment ID: I20041015000721 |
| Provider Name | Thomas J Haverbush |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306811120 PECOS PAC ID: 5991769226 Enrollment ID: I20041117000099 |
| Provider Name | Michael Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942241633 PECOS PAC ID: 7012973209 Enrollment ID: I20041209000183 |
| Provider Name | Indira R Saxena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285827196 PECOS PAC ID: 1052379138 Enrollment ID: I20041222000555 |
| Provider Name | Judy A Dudum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265509632 PECOS PAC ID: 3072571801 Enrollment ID: I20041228000208 |
| Provider Name | Helen J Decorte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447258330 PECOS PAC ID: 0244298750 Enrollment ID: I20041230000347 |
| Provider Name | Craig P Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647384 PECOS PAC ID: 1456381086 Enrollment ID: I20050815000124 |
| Provider Name | David M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215988084 PECOS PAC ID: 2062444888 Enrollment ID: I20050901000156 |
| Provider Name | Kenneth M Mackinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245284124 PECOS PAC ID: 9537115365 Enrollment ID: I20060504000688 |
| Provider Name | Spencer Thomas Bertram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205876513 PECOS PAC ID: 5991718504 Enrollment ID: I20060727000378 |
| Provider Name | Sharon Agnes Levandowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144244500 PECOS PAC ID: 6901824465 Enrollment ID: I20060816000330 |
| Provider Name | Kirk Jon Bortel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063466837 PECOS PAC ID: 9830194562 Enrollment ID: I20061002000174 |
| Provider Name | Jamie A Poliskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982658787 PECOS PAC ID: 9830194570 Enrollment ID: I20061002000184 |
| Provider Name | Charles Jeffrey Holmes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568488054 PECOS PAC ID: 3779477351 Enrollment ID: I20061016000576 |
| Provider Name | Pankaj Guglani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417040379 PECOS PAC ID: 0648278168 Enrollment ID: I20061117000050 |
| Provider Name | Kimberly D Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750327045 PECOS PAC ID: 9537168976 Enrollment ID: I20061212000221 |
| Provider Name | Lisa Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104871169 PECOS PAC ID: 3274533815 Enrollment ID: I20070105000243 |
| Provider Name | Tariq Sabir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073526778 PECOS PAC ID: 6507866837 Enrollment ID: I20070110000154 |
| Provider Name | George M Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558397638 PECOS PAC ID: 6204836570 Enrollment ID: I20070110000479 |
| Provider Name | Robert H Hubers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861413064 PECOS PAC ID: 4284733155 Enrollment ID: I20070619000452 |
| Provider Name | Chad James Radey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629121017 PECOS PAC ID: 5395848758 Enrollment ID: I20070720000390 |
| Provider Name | Nabil M Metwally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477591139 PECOS PAC ID: 7113927054 Enrollment ID: I20070720000858 |
| Provider Name | Erich C Kickland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194827105 PECOS PAC ID: 1850485830 Enrollment ID: I20070921000056 |
| Provider Name | David E Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326158072 PECOS PAC ID: 6608961487 Enrollment ID: I20071009000535 |
| Provider Name | Mary Ann Slominis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568675882 PECOS PAC ID: 5991891806 Enrollment ID: I20071023000293 |
| Provider Name | Michael A Stack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932146685 PECOS PAC ID: 7911956701 Enrollment ID: I20071105000087 |
| Provider Name | Chong U Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641573 PECOS PAC ID: 0244328169 Enrollment ID: I20071109000620 |
| Provider Name | Larisa M Traill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184826083 PECOS PAC ID: 6608948757 Enrollment ID: I20080707000135 |
| Provider Name | Malini Venkatram |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467639948 PECOS PAC ID: 0143396838 Enrollment ID: I20080903000512 |
| Provider Name | John Francis Dery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720101561 PECOS PAC ID: 3173699667 Enrollment ID: I20080908000103 |
| Provider Name | Sarah M Somerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134378532 PECOS PAC ID: 6406915537 Enrollment ID: I20081104000791 |
| Provider Name | Gregory J Zivic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346462553 PECOS PAC ID: 4385704600 Enrollment ID: I20081117000531 |
| Provider Name | Marcus Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336102847 PECOS PAC ID: 2961315072 Enrollment ID: I20090401000366 |
| Provider Name | John Blamoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053490177 PECOS PAC ID: 6406950872 Enrollment ID: I20090629000087 |
| Provider Name | John Joseph Kahler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831272590 PECOS PAC ID: 3072665280 Enrollment ID: I20090720000382 |
| Provider Name | Scott F Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578774568 PECOS PAC ID: 1456406230 Enrollment ID: I20090831000275 |
| Provider Name | Michelle Lee Whitford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740490200 PECOS PAC ID: 7315093861 Enrollment ID: I20090924000298 |
| Provider Name | Ahsen Tatar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699940122 PECOS PAC ID: 6709947484 Enrollment ID: I20091027000114 |
| Provider Name | Carl Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326152240 PECOS PAC ID: 7012809833 Enrollment ID: I20091120000371 |
| Provider Name | Yolanda Y Fong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700893195 PECOS PAC ID: 7517007164 Enrollment ID: I20091214000099 |
| Provider Name | Jeffrey P Striebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609981224 PECOS PAC ID: 2668512427 Enrollment ID: I20091229000626 |
| Provider Name | Anthony D Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396914016 PECOS PAC ID: 2961543251 Enrollment ID: I20100108000482 |
| Provider Name | David W Jordahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376552489 PECOS PAC ID: 7012097603 Enrollment ID: I20100113000130 |
| Provider Name | Nazem Abdelfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255374757 PECOS PAC ID: 6406998475 Enrollment ID: I20100128000941 |
| Provider Name | Sasha Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033122304 PECOS PAC ID: 6507909934 Enrollment ID: I20100206000040 |
| Provider Name | Gary Stebelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215966957 PECOS PAC ID: 7618071390 Enrollment ID: I20100206000218 |
| Provider Name | Kurt W Filips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225097181 PECOS PAC ID: 7618002627 Enrollment ID: I20100316000752 |
| Provider Name | Gail Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770502593 PECOS PAC ID: 6204961030 Enrollment ID: I20100318000849 |
| Provider Name | Arturas Klugas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740487198 PECOS PAC ID: 6800910571 Enrollment ID: I20100901000796 |
| Provider Name | William B Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467458992 PECOS PAC ID: 9032301247 Enrollment ID: I20101006000789 |
| Provider Name | Michael Raymond Warmoth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215932207 PECOS PAC ID: 4587852454 Enrollment ID: I20101217000918 |
| Provider Name | Bophal Hang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821204389 PECOS PAC ID: 4385833706 Enrollment ID: I20110114000807 |
| Provider Name | Sharon Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619976065 PECOS PAC ID: 6002095130 Enrollment ID: I20110121000482 |
| Provider Name | Kelly Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649287962 PECOS PAC ID: 9830378553 Enrollment ID: I20110127000574 |
| Provider Name | Kurt M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467743872 PECOS PAC ID: 3476731290 Enrollment ID: I20110627000615 |
| Provider Name | Jeanine Ernest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235367269 PECOS PAC ID: 2668641648 Enrollment ID: I20110809000028 |
| Provider Name | Monika Herdzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730386186 PECOS PAC ID: 5395915730 Enrollment ID: I20110823000410 |
| Provider Name | Melissa B Murtha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337963 PECOS PAC ID: 1759553381 Enrollment ID: I20111004000336 |
| Provider Name | Egle Klugiene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861651200 PECOS PAC ID: 2163698705 Enrollment ID: I20111230000630 |
| Provider Name | Megan D Bonanni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043466592 PECOS PAC ID: 2860664059 Enrollment ID: I20120106000814 |
| Provider Name | Tami Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932454501 PECOS PAC ID: 8123277613 Enrollment ID: I20120926000700 |
| Provider Name | Reginald W Kapteyn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366601536 PECOS PAC ID: 8729152368 Enrollment ID: I20121105000242 |
| Provider Name | Walker N Foland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932429883 PECOS PAC ID: 0941452270 Enrollment ID: I20121212000294 |
| Provider Name | Schuyler A Rogg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356568406 PECOS PAC ID: 5294919833 Enrollment ID: I20130124000268 |
| Provider Name | Renee Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829467 PECOS PAC ID: 6901042688 Enrollment ID: I20130425000208 |
| Provider Name | Jenifer Balawender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518263557 PECOS PAC ID: 3779720107 Enrollment ID: I20130502000382 |
| Provider Name | Mohamed W Akkad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710299557 PECOS PAC ID: 7911140769 Enrollment ID: I20130827000752 |
| Provider Name | Paul J Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
| Provider Name | Christopher Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838017 PECOS PAC ID: 6608029905 Enrollment ID: I20131209000879 |
| Provider Name | Taylor S Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841496353 PECOS PAC ID: 5991836710 Enrollment ID: I20131219001100 |
| Provider Name | Maureen L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912776 PECOS PAC ID: 2163650110 Enrollment ID: I20140121000195 |
| Provider Name | Abood Salipi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083996318 PECOS PAC ID: 4587889456 Enrollment ID: I20140709000952 |
| Provider Name | Jamie E Christopoulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942520200 PECOS PAC ID: 8527285246 Enrollment ID: I20140804001259 |
| Provider Name | Paul F Bucchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760794804 PECOS PAC ID: 6901059245 Enrollment ID: I20140813000182 |
| Provider Name | Ann E Traynor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831171768 PECOS PAC ID: 0345298451 Enrollment ID: I20141104001308 |
| Provider Name | Coleman J Gulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443722 PECOS PAC ID: 5395967715 Enrollment ID: I20141119000505 |
| Provider Name | Travis C Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437266582 PECOS PAC ID: 5991700973 Enrollment ID: I20150605001649 |
| Provider Name | Stacy Carstensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235519638 PECOS PAC ID: 9133431984 Enrollment ID: I20150707003287 |
| Provider Name | Bosede B Joshua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467715185 PECOS PAC ID: 6204066400 Enrollment ID: I20150831001412 |
| Provider Name | Elizabeth J Mazzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568832236 PECOS PAC ID: 1658680384 Enrollment ID: I20151021000368 |
| Provider Name | Lindsey Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407228026 PECOS PAC ID: 8123328341 Enrollment ID: I20151119002194 |
| Provider Name | Lavonna Lynnsilee Alvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124404793 PECOS PAC ID: 4183927015 Enrollment ID: I20160126002132 |
| Provider Name | Laurence Yung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376653352 PECOS PAC ID: 2961500640 Enrollment ID: I20160606000407 |
| Provider Name | Fadi T Kasyouhanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487094181 PECOS PAC ID: 5991936304 Enrollment ID: I20160620000524 |
| Provider Name | Alexander Richard Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306286919 PECOS PAC ID: 3274765284 Enrollment ID: I20160701001045 |
| Provider Name | Kathryn E Esch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511571 PECOS PAC ID: 9436442696 Enrollment ID: I20160726000518 |
| Provider Name | Anthony S Burgess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114232238 PECOS PAC ID: 6608095294 Enrollment ID: I20160817000429 |
| Provider Name | Maria Cristina C Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063650315 PECOS PAC ID: 5496889651 Enrollment ID: I20161006000326 |
| Provider Name | Kristin R Raleigh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700143997 PECOS PAC ID: 8426289794 Enrollment ID: I20161108002471 |
| Provider Name | Alison Debra-ann Bracken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205218534 PECOS PAC ID: 4880991389 Enrollment ID: I20170131000947 |
| Provider Name | Anthony D Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902342736 PECOS PAC ID: 0042593345 Enrollment ID: I20170213000079 |
| Provider Name | Goral Panchal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245528884 PECOS PAC ID: 1254615883 Enrollment ID: I20170228000460 |
| Provider Name | Lena J Widman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730560970 PECOS PAC ID: 6103101316 Enrollment ID: I20170329002701 |
| Provider Name | Erin Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659806347 PECOS PAC ID: 7618244492 Enrollment ID: I20170526000806 |
| Provider Name | Olga G Dewald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710397690 PECOS PAC ID: 2264734631 Enrollment ID: I20170609000955 |
| Provider Name | Meaghan K Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346689858 PECOS PAC ID: 6002046174 Enrollment ID: I20170710001629 |
| Provider Name | Stacey L Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979338 PECOS PAC ID: 6608147996 Enrollment ID: I20170804000991 |
| Provider Name | Patrick Christopher Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932529799 PECOS PAC ID: 9739485004 Enrollment ID: I20170901000846 |
| Provider Name | Lester Yan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497862387 PECOS PAC ID: 9537331434 Enrollment ID: I20171128001494 |
| Provider Name | Andrew J Gardner-northrop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225542152 PECOS PAC ID: 7214295138 Enrollment ID: I20171227000041 |
| Provider Name | Jennifer M Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997425 PECOS PAC ID: 1153683628 Enrollment ID: I20180321000343 |
| Provider Name | Karen J Miljour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982613535 PECOS PAC ID: 3072791318 Enrollment ID: I20180605001831 |
| Provider Name | Rajiv Deochand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139220 PECOS PAC ID: 5991023244 Enrollment ID: I20180627002907 |
| Provider Name | Cora J Pavlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704133 PECOS PAC ID: 3274889373 Enrollment ID: I20180703000959 |
| Provider Name | Michelle Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543372 PECOS PAC ID: 2062730310 Enrollment ID: I20180703001729 |
| Provider Name | Jessica Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215352901 PECOS PAC ID: 0648527150 Enrollment ID: I20180716000098 |
| Provider Name | Melissa Weckesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588078620 PECOS PAC ID: 4082932330 Enrollment ID: I20180718000260 |
| Provider Name | Brandi Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497249403 PECOS PAC ID: 5890042964 Enrollment ID: I20180719003419 |
| Provider Name | Shreya A Wachob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497137012 PECOS PAC ID: 2163770777 Enrollment ID: I20180730001525 |
| Provider Name | Jinu Matew Puthenparampil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114301942 PECOS PAC ID: 1153630991 Enrollment ID: I20180731001009 |
| Provider Name | Ashley L Aultman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629456264 PECOS PAC ID: 5193030849 Enrollment ID: I20180802002027 |
| Provider Name | Nathan P Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497138226 PECOS PAC ID: 8729336623 Enrollment ID: I20180809003625 |
| Provider Name | Danielle Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881717528 PECOS PAC ID: 8426307943 Enrollment ID: I20180816002243 |
| Provider Name | Laura K Mastee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798457 PECOS PAC ID: 7113279662 Enrollment ID: I20181010002557 |
| Provider Name | Rachel Ann Bade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522053 PECOS PAC ID: 8123371887 Enrollment ID: I20181025002040 |
| Provider Name | Andrew Brookes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782578 PECOS PAC ID: 5395099402 Enrollment ID: I20181108000500 |
| Provider Name | Stephanie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295202208 PECOS PAC ID: 3274877576 Enrollment ID: I20181127001637 |
| Provider Name | Megan Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174091565 PECOS PAC ID: 4688918956 Enrollment ID: I20181128001131 |
| Provider Name | Nicholas Bair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376925743 PECOS PAC ID: 4789928573 Enrollment ID: I20181205001796 |
| Provider Name | Miranda Jayne Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855013 PECOS PAC ID: 6305181249 Enrollment ID: I20181220001228 |
| Provider Name | Alionye Monne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386062099 PECOS PAC ID: 4688912868 Enrollment ID: I20190213002293 |
| Provider Name | Rebecca Sue Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890042 PECOS PAC ID: 2264790708 Enrollment ID: I20190424000170 |
| Provider Name | Katie Tausch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932558830 PECOS PAC ID: 9537450812 Enrollment ID: I20190509000492 |
| Provider Name | Abigail R Ducheine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639528375 PECOS PAC ID: 9830481035 Enrollment ID: I20190514000100 |
| Provider Name | Landon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104383124 PECOS PAC ID: 8123361839 Enrollment ID: I20190521002354 |
| Provider Name | Adam Christopher Heinemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407239676 PECOS PAC ID: 8628372133 Enrollment ID: I20190530002926 |
| Provider Name | Robert Reichmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124477864 PECOS PAC ID: 4082906276 Enrollment ID: I20190628002775 |
| Provider Name | Shawn A Munafo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093166217 PECOS PAC ID: 3678865078 Enrollment ID: I20190710002683 |
| Provider Name | Colton C Prudnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619380334 PECOS PAC ID: 5597090597 Enrollment ID: I20190712002237 |
| Provider Name | Joseph Frank Sedlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942868815 PECOS PAC ID: 5597091108 Enrollment ID: I20190719000606 |
| Provider Name | Amanda Fetterolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528710 PECOS PAC ID: 5597091587 Enrollment ID: I20190729003436 |
| Provider Name | Mark Owolabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945507 PECOS PAC ID: 3971851429 Enrollment ID: I20190829000507 |
| Provider Name | Melinda Cusack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932580909 PECOS PAC ID: 4183936792 Enrollment ID: I20191031001924 |
| Provider Name | Jolene M Bielicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659915148 PECOS PAC ID: 3173955390 Enrollment ID: I20191108001972 |
| Provider Name | Ashley Wolosonowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083255665 PECOS PAC ID: 3678905452 Enrollment ID: I20191115002495 |
| Provider Name | Jessica L Lerczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902448533 PECOS PAC ID: 1557796133 Enrollment ID: I20200109001521 |
| Provider Name | Amanda Radocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750911434 PECOS PAC ID: 2961830526 Enrollment ID: I20200312001499 |
| Provider Name | Meagan Crofoot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003343153 PECOS PAC ID: 1254769664 Enrollment ID: I20200318002313 |
| Provider Name | Michelle Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215465687 PECOS PAC ID: 0547539306 Enrollment ID: I20200601000187 |
| Provider Name | John Gerald Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548790165 PECOS PAC ID: 3577984160 Enrollment ID: I20200608001398 |
| Provider Name | Bruce Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881124816 PECOS PAC ID: 0941622856 Enrollment ID: I20200623001910 |
| Provider Name | Amy R Kuechenmeister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750583332 PECOS PAC ID: 0446350599 Enrollment ID: I20200623002283 |
| Provider Name | Jacob Trombley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750801239 PECOS PAC ID: 6305116989 Enrollment ID: I20200625001948 |
| Provider Name | Emily Jane Rummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760005631 PECOS PAC ID: 0840615886 Enrollment ID: I20200807000315 |
| Provider Name | Yezi Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760910137 PECOS PAC ID: 0648549402 Enrollment ID: I20200827001393 |
| Provider Name | Sandeep V Yalamanchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164870788 PECOS PAC ID: 2163714783 Enrollment ID: I20200910001943 |
| Provider Name | Paul Raymond Drenth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367205 PECOS PAC ID: 0941627145 Enrollment ID: I20200914001067 |
| Provider Name | Kristy Dzurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134731326 PECOS PAC ID: 8820417298 Enrollment ID: I20201005000594 |
| Provider Name | Shelby Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083220388 PECOS PAC ID: 2264852292 Enrollment ID: I20201013003004 |
| Provider Name | Nicole Lorraine Schelb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741349 PECOS PAC ID: 2860802618 Enrollment ID: I20201105001162 |
| Provider Name | Ashley Kain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326632985 PECOS PAC ID: 9537575139 Enrollment ID: I20210305001025 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407784 PECOS PAC ID: 0244646842 Enrollment ID: I20210305001148 |
| Provider Name | David Jacob Kramp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487145678 PECOS PAC ID: 8426304635 Enrollment ID: I20210506001046 |
| Provider Name | Peter Chiang Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134509987 PECOS PAC ID: 1658780309 Enrollment ID: I20210510000630 |
| Provider Name | Stephanie Goggin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639699606 PECOS PAC ID: 7810266608 Enrollment ID: I20210519002862 |
| Provider Name | Craig Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104319946 PECOS PAC ID: 6901152115 Enrollment ID: I20210701001180 |
| Provider Name | Nicole R Zimmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306374673 PECOS PAC ID: 6507136033 Enrollment ID: I20210730001891 |
| Provider Name | Danielle R Mcauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832124 PECOS PAC ID: 7810395514 Enrollment ID: I20211011002312 |
| Provider Name | Jessica Marie Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526619 PECOS PAC ID: 6103224720 Enrollment ID: I20211013000818 |
| Provider Name | Keagan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346842242 PECOS PAC ID: 1850781824 Enrollment ID: I20211206002217 |
| Provider Name | Eric J Hoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063681393 PECOS PAC ID: 3779668694 Enrollment ID: I20211213000893 |
| Provider Name | Tatyana Gluzberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790991339 PECOS PAC ID: 7214073485 Enrollment ID: I20211217001767 |
| Provider Name | Samantha P Tuczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770077943 PECOS PAC ID: 9335493709 Enrollment ID: I20211230000182 |
| Provider Name | Jaime Marie Makela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362885 PECOS PAC ID: 0042601031 Enrollment ID: I20211230000654 |
| Provider Name | Kallyn Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629729843 PECOS PAC ID: 0547653255 Enrollment ID: I20220201002148 |
| Provider Name | Gerardine Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477059335 PECOS PAC ID: 3375937386 Enrollment ID: I20220308000670 |
| Provider Name | Michelle Marie Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723416 PECOS PAC ID: 4688068612 Enrollment ID: I20220308001372 |
| Provider Name | Tonya M Grissam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043385131 PECOS PAC ID: 8022376938 Enrollment ID: I20220523000497 |
| Provider Name | Vanessa Larouche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821658311 PECOS PAC ID: 5698009231 Enrollment ID: I20220527000404 |
| Provider Name | Katlin Emily Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589389 PECOS PAC ID: 0446639140 Enrollment ID: I20220627003532 |
| Provider Name | Alec Kurjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639639362 PECOS PAC ID: 5092046359 Enrollment ID: I20220629003337 |
| Provider Name | Monika A Potrykus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649764242 PECOS PAC ID: 5890041917 Enrollment ID: I20220728001733 |
| Provider Name | Rebecca M Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061947 PECOS PAC ID: 8224410196 Enrollment ID: I20220809002701 |
| Provider Name | Caroline Ann Buday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518696475 PECOS PAC ID: 7012391139 Enrollment ID: I20220908001401 |
| Provider Name | Regan Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801514666 PECOS PAC ID: 1951786300 Enrollment ID: I20220921000891 |
| Provider Name | Alexander William Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720548076 PECOS PAC ID: 0648503797 Enrollment ID: I20221011001732 |
| Provider Name | Aubree Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982321378 PECOS PAC ID: 3476920448 Enrollment ID: I20221103001811 |
| Provider Name | William Sturdavant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104483346 PECOS PAC ID: 6002141280 Enrollment ID: I20221107000633 |
| Provider Name | Wei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245689215 PECOS PAC ID: 4486039534 Enrollment ID: I20221213000930 |
| Provider Name | Sarah Ann Fabus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053030213 PECOS PAC ID: 8527438639 Enrollment ID: I20230106001294 |
| Provider Name | Amruth Palla |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1922205681 PECOS PAC ID: 5395832844 Enrollment ID: I20230328000274 |
| Provider Name | Irfan Shaukat Manzoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932769577 PECOS PAC ID: 3779817317 Enrollment ID: I20230503000386 |
| Provider Name | Hira Hayee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890888 PECOS PAC ID: 9931433570 Enrollment ID: I20230503002622 |
| Provider Name | Zachary Beavers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729290 PECOS PAC ID: 9739519380 Enrollment ID: I20230515003126 |
| Provider Name | Jenna J Bernson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972128619 PECOS PAC ID: 8426470220 Enrollment ID: I20230517002344 |
| Provider Name | Mina S Salib |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346734142 PECOS PAC ID: 3577893445 Enrollment ID: I20230522001663 |
| Provider Name | Shaelyn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861192049 PECOS PAC ID: 8123485521 Enrollment ID: I20230530002653 |
| Provider Name | Mounir Djemil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053763862 PECOS PAC ID: 9537453931 Enrollment ID: I20230601003026 |
| Provider Name | Kinan Hawasly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295062347 PECOS PAC ID: 7416181029 Enrollment ID: I20230605000911 |
| Provider Name | Joseph R Wille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073134839 PECOS PAC ID: 7416375415 Enrollment ID: I20230705000515 |
| Provider Name | Ariana Annell Schempp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205517802 PECOS PAC ID: 8628423209 Enrollment ID: I20231017003203 |
| Provider Name | Anum Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538653134 PECOS PAC ID: 0547516668 Enrollment ID: I20231019002090 |
| Provider Name | Angela Lynn Bratschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020229 PECOS PAC ID: 7416303094 Enrollment ID: I20231102002242 |
| Provider Name | Jorie Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639959448 PECOS PAC ID: 0143678722 Enrollment ID: I20231120002072 |
| Provider Name | Garrett R Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326813361 PECOS PAC ID: 9436508488 Enrollment ID: I20231215001229 |
| Provider Name | Amanda Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487307476 PECOS PAC ID: 2668824178 Enrollment ID: I20240120000341 |
| Provider Name | Santiago Moscoso Martinez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154619021 PECOS PAC ID: 6406127810 Enrollment ID: I20240129000497 |
| Provider Name | Sos Nalghranyan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740684646 PECOS PAC ID: 9830463538 Enrollment ID: I20240227003698 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262846 PECOS PAC ID: 0143666271 Enrollment ID: I20240312002435 |
Sacred Heart Mercy Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 W Cheesman Rd, Alma, MI 48801 Phone: 989-463-3451 Fax: 989-463-1534 | |
Warwick Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E Warwick Dr, Alma, MI 48801 Phone: 989-463-1101 | |
Isabella Citizens For Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Elizabeth St, Alma, MI 48801 Phone: 989-953-5320 | |
Midmichigan Health Family Practice Center-alma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 E Warwick Dr, Alma, MI 48801 Phone: 989-629-8140 Fax: 989-629-8145 | |
Isabella Citizens For Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Pine Ave, Alma, MI 48801 Phone: 989-953-5320 | |
Isabella Citizens For Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Pine Ave, Alma, MI 48801 Phone: 989-953-5320 |