| Munson Healthcare Boyne Area Health Center | |
|
223 N Park St Boyne City MI 49712-1220 | |
| (231) 582-5314 | |
| (231) 582-5338 |
| Full Name | Munson Healthcare Boyne Area Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 223 N Park St, Boyne City, Michigan |
| Authorized Official Name and Position | Christine Wilhelm (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 2315478511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munson Healthcare Boyne Area Health Center 223 N Park St Boyne City MI 49712-1220 Ph: (231) 582-5314 | Munson Healthcare Boyne Area Health Center 223 N Park St Boyne City MI 49712-1220 Ph: (231) 582-5314 |
| NPI Number | 1790867216 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 4284528035 |
|---|---|
| Medicare Enrollment ID | O20070109000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790867216 | NPI | - | NPPES |
| 31459366 | Other | MI | FIRST HEALTH FP GROUP |
| 0A51004 | Other | MI | BCN FP PROFESSIONAL GRP |
| 900001729 | Other | MI | PRIORITY HEALTH FP GROUP |
| 0A51004 | Other | MI | BLUE SHIELD FP GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| Provider Name | Christina Dalton Pryde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033103874 PECOS PAC ID: 9638068125 Enrollment ID: I20040312000648 |
| Provider Name | Steven A Voci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548240260 PECOS PAC ID: 7911994009 Enrollment ID: I20040429000939 |
| Provider Name | Loren M Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972573442 PECOS PAC ID: 3274592688 Enrollment ID: I20041008001435 |
| Provider Name | Mark C Antonishen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518971654 PECOS PAC ID: 7315916590 Enrollment ID: I20050602000214 |
| Provider Name | Dale D Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295803138 PECOS PAC ID: 5890876114 Enrollment ID: I20080112000141 |
| Provider Name | Catherine A Wonski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386755726 PECOS PAC ID: 7214067578 Enrollment ID: I20100611000833 |
| Provider Name | Andrea L Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992816334 PECOS PAC ID: 4587794847 Enrollment ID: I20100611000840 |
| Provider Name | Michael J Harmeling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194836502 PECOS PAC ID: 9931239290 Enrollment ID: I20100611000846 |
| Provider Name | Lori A Katzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467516476 PECOS PAC ID: 9931397510 Enrollment ID: I20101223000273 |
| Provider Name | Michael J Lucido |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760623433 PECOS PAC ID: 2466686209 Enrollment ID: I20131009001404 |
| Provider Name | Glen Macpherson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467429050 PECOS PAC ID: 0446387252 Enrollment ID: I20150806011036 |
| Provider Name | Maurica Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699155671 PECOS PAC ID: 3274840632 Enrollment ID: I20150916003406 |
| Provider Name | Alan G Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376908863 PECOS PAC ID: 5092011445 Enrollment ID: I20160310000647 |
| Provider Name | Lisa M Thiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154866408 PECOS PAC ID: 3779869854 Enrollment ID: I20170405000403 |
| Provider Name | Caitlyn Monks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558710590 PECOS PAC ID: 2860817798 Enrollment ID: I20200810000438 |
Mclaren Central Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S M 75, Boyne City, MI 49712 Phone: 231-582-1515 | |
Munson Healthcare Boyne Area Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 N Park St, Boyne City, MI 49712 Phone: 231-582-5314 Fax: 231-582-5338 | |
Mclaren Northern Michigan Med Center - Boyne City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1249 S M 75, Boyne City, MI 49712 Phone: 231-582-2425 |