| Mycare Health Center | |
|
18 Market Street Suite C Mount Clemens MI 48043 | |
| (586) 783-2222 | |
| (586) 783-6944 |
| Full Name | Mycare Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Market Street, Mount Clemens, Michigan |
| Authorized Official Name and Position | Karen Wood (CEO) |
| Authorized Official Contact | 5866199986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mycare Health Center 6800 E 10 Mile Rd Center Line MI 48015-1167 Ph: (586) 619-9986 | Mycare Health Center 18 Market Street Suite C Mount Clemens MI 48043 Ph: (586) 783-2222 |
| NPI Number | 1265749683 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 07/07/2020 |
| Medicare PECOS PAC ID | 6406039403 |
|---|---|
| Medicare Enrollment ID | O20110329000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265749683 | NPI | - | NPPES |
| 080E031630 | Other | MI | BCBS GROUP |
| 1265749683 | Medicaid | MI | |
| 080E031630 | Other | MI | BCN GROUP |
| 0E03765 | Other | MI | BC NP GROUP PIN |
| Provider Name | Joseph T Naughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205847175 PECOS PAC ID: 5294797429 Enrollment ID: I20041101000145 |
| Provider Name | Maheshkumar A Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396787560 PECOS PAC ID: 3476631342 Enrollment ID: I20080417000056 |
| Provider Name | Robert J Lagrou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629279351 PECOS PAC ID: 3779645270 Enrollment ID: I20081217000396 |
| Provider Name | David E Beneson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124060132 PECOS PAC ID: 8527127729 Enrollment ID: I20100726000706 |
| Provider Name | Timothy S Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659303626 PECOS PAC ID: 1850568114 Enrollment ID: I20120127000207 |
| Provider Name | John V Yax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740562800 PECOS PAC ID: 5395907471 Enrollment ID: I20120507000716 |
| Provider Name | Adrianne M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932534674 PECOS PAC ID: 3173752987 Enrollment ID: I20140127000651 |
| Provider Name | Jennifer Wims-madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245585710 PECOS PAC ID: 0143450437 Enrollment ID: I20140306001427 |
| Provider Name | Erin Merriweather |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477840544 PECOS PAC ID: 8426357567 Enrollment ID: I20160425001355 |
| Provider Name | Lauren Jefferson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205103728 PECOS PAC ID: 2163721135 Enrollment ID: I20160425002279 |
| Provider Name | Donyelle Pavonne Moore-baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093026262 PECOS PAC ID: 3274835368 Enrollment ID: I20161212002166 |
| Provider Name | Nicole Hentschel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306373873 PECOS PAC ID: 5799040903 Enrollment ID: I20180517000744 |
| Provider Name | Jeffrey P Guina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073827275 PECOS PAC ID: 4587892039 Enrollment ID: I20180523002089 |
| Provider Name | Christine M Allor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356834600 PECOS PAC ID: 9335490382 Enrollment ID: I20181001003315 |
| Provider Name | Shawna Susanne Cuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487136552 PECOS PAC ID: 6406192673 Enrollment ID: I20190108003935 |
| Provider Name | Lisa Mader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174975031 PECOS PAC ID: 5395157812 Enrollment ID: I20201214000874 |
| Provider Name | Bradley Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063013290 PECOS PAC ID: 2163830985 Enrollment ID: I20210415002941 |
| Provider Name | David Macon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760988679 PECOS PAC ID: 3476953621 Enrollment ID: I20210610000705 |
| Provider Name | Geneva Chastanet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476363 PECOS PAC ID: 1456615749 Enrollment ID: I20211223000734 |
| Provider Name | Allysa Fearnow-baurhenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902211998 PECOS PAC ID: 2961897160 Enrollment ID: I20220325001472 |
| Provider Name | Jennifer Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174129381 PECOS PAC ID: 5294193231 Enrollment ID: I20230622002913 |
Midwest Hospitalists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Inpatient Solutions Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St, Suite 3, Mount Clemens, MI 48043 Phone: 586-465-2879 Fax: 586-465-5424 | |
Internal Medicine Associates Of Mt. Clemens, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Mcrmc Professional Oncology Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Harrington Blvd, Suite 201, Mount Clemens, MI 48043 Phone: 586-493-7575 Fax: 586-493-7576 | |
Gladstone A. Payton, D.o.,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 Northbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-8088 | |
Henry Ford Physician Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 |