| Mymichigan Medical Center Clare | |
|
703 N Mcewan St Clare MI 48617-1440 | |
| (989) 802-5000 | |
| Not Available |
| Full Name | Mymichigan Medical Center Clare |
|---|---|
| Speciality | General Practice |
| 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: () - | Mymichigan Medical Center Clare 703 N Mcewan St Clare MI 48617-1440 Ph: (989) 802-5000 |
| NPI Number | 1134394026 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 02/14/2023 |
| Medicare PECOS PAC ID | 7012829773 |
|---|---|
| Medicare Enrollment ID | O20080721000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134394026 | NPI | - | NPPES |
| Provider Name | Nabil J Bahu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881631638 PECOS PAC ID: 2062316540 Enrollment ID: I20031125000883 |
| Provider Name | Andrew Michael Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023144433 PECOS PAC ID: 8123923489 Enrollment ID: I20031201000543 |
| Provider Name | Elie M Obeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770517534 PECOS PAC ID: 9133013105 Enrollment ID: I20040211000021 |
| Provider Name | George P Roller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932235348 PECOS PAC ID: 5890788822 Enrollment ID: I20040412000672 |
| Provider Name | Mildred J Willy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407982291 PECOS PAC ID: 7416943154 Enrollment ID: I20040420001657 |
| Provider Name | Jeffery J Nielsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528194461 PECOS PAC ID: 9830185586 Enrollment ID: I20040420001687 |
| Provider Name | Melody L Fitzer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003948753 PECOS PAC ID: 4789660127 Enrollment ID: I20040626000412 |
| Provider Name | Martin T Lougen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528133659 PECOS PAC ID: 0446210256 Enrollment ID: I20041015000721 |
| Provider Name | Sarah Trommater |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801881842 PECOS PAC ID: 2961468640 Enrollment ID: I20041203000938 |
| Provider Name | Helen J Decorte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447258330 PECOS PAC ID: 0244298750 Enrollment ID: I20041230000347 |
| Provider Name | Catherine M Balanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679550164 PECOS PAC ID: 9638122021 Enrollment ID: I20050225000153 |
| Provider Name | Jeffrey Scott Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255373163 PECOS PAC ID: 6507809530 Enrollment ID: I20050609000881 |
| Provider Name | Craig P Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647384 PECOS PAC ID: 1456381086 Enrollment ID: I20050815000124 |
| Provider Name | Richard S Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316051634 PECOS PAC ID: 0345273934 Enrollment ID: I20050914000719 |
| Provider Name | Roger C Merk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841218666 PECOS PAC ID: 0749213015 Enrollment ID: I20050916000248 |
| Provider Name | Kevin J Berlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902974090 PECOS PAC ID: 1557391851 Enrollment ID: I20050922000472 |
| Provider Name | Michael N Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174506190 PECOS PAC ID: 0840205472 Enrollment ID: I20060217000349 |
| Provider Name | Christopher J Gunnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932142262 PECOS PAC ID: 7113939653 Enrollment ID: I20060626000287 |
| Provider Name | Roger J Beaudoing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639154768 PECOS PAC ID: 9133131550 Enrollment ID: I20060628000238 |
| Provider Name | Spencer Thomas Bertram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205876513 PECOS PAC ID: 5991718504 Enrollment ID: I20060727000378 |
| Provider Name | Michael S Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184729683 PECOS PAC ID: 2365440161 Enrollment ID: I20061109000435 |
| Provider Name | Pankaj Guglani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417040379 PECOS PAC ID: 0648278168 Enrollment ID: I20061117000050 |
| Provider Name | George M Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558397638 PECOS PAC ID: 6204836570 Enrollment ID: I20070110000479 |
| Provider Name | James Ware |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063449650 PECOS PAC ID: 9436044971 Enrollment ID: I20070626000350 |
| 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 | Abid R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275710873 PECOS PAC ID: 9830275056 Enrollment ID: I20080327000456 |
| Provider Name | Larisa M Traill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184826083 PECOS PAC ID: 6608948757 Enrollment ID: I20080707000135 |
| 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 | John W Duff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225125222 PECOS PAC ID: 7618031840 Enrollment ID: I20090202000576 |
| 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 | Michelle Lee Whitford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740490200 PECOS PAC ID: 7315093861 Enrollment ID: I20090924000298 |
| Provider Name | Anthony D Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396914016 PECOS PAC ID: 2961543251 Enrollment ID: I20100108000482 |
| Provider Name | Thomas V Claringbold |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821017674 PECOS PAC ID: 6103876578 Enrollment ID: I20100218000638 |
| Provider Name | Kurt W Filips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225097181 PECOS PAC ID: 7618002627 Enrollment ID: I20100316000752 |
| Provider Name | William B Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467458992 PECOS PAC ID: 9032301247 Enrollment ID: I20101006000789 |
| Provider Name | Bophal Hang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821204389 PECOS PAC ID: 4385833706 Enrollment ID: I20110114000807 |
| Provider Name | Danny D Greig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366484271 PECOS PAC ID: 1456532977 Enrollment ID: I20110216000806 |
| Provider Name | Jesse G Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225070329 PECOS PAC ID: 7012198294 Enrollment ID: I20110221001033 |
| Provider Name | James R Mlejnek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548423155 PECOS PAC ID: 1658554761 Enrollment ID: I20110328000630 |
| Provider Name | Kurt M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467743872 PECOS PAC ID: 3476731290 Enrollment ID: I20110627000615 |
| Provider Name | Elvira M O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255500674 PECOS PAC ID: 1557530912 Enrollment ID: I20110802000156 |
| Provider Name | Keith W Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457589053 PECOS PAC ID: 5092984203 Enrollment ID: I20110804000255 |
| Provider Name | Stephanie M Mallord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861775959 PECOS PAC ID: 0244406650 Enrollment ID: I20120106000462 |
| Provider Name | Carleton D Winegar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033152699 PECOS PAC ID: 2264609379 Enrollment ID: I20120112000517 |
| Provider Name | James R Shepich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871539585 PECOS PAC ID: 1951296979 Enrollment ID: I20120730000352 |
| Provider Name | Danielle L Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831350776 PECOS PAC ID: 6406006717 Enrollment ID: I20121023000303 |
| 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 | Erik L Nimbley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952632150 PECOS PAC ID: 4486890803 Enrollment ID: I20130409000426 |
| Provider Name | Phani Deepthi Vadlamudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932426293 PECOS PAC ID: 2567605702 Enrollment ID: I20130906000749 |
| Provider Name | Emily R Mclaren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063731131 PECOS PAC ID: 9739314980 Enrollment ID: I20131024001726 |
| Provider Name | Rachel A Kerttu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134551179 PECOS PAC ID: 0547496721 Enrollment ID: I20131118000369 |
| Provider Name | Randa S Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080339 PECOS PAC ID: 2668601071 Enrollment ID: I20140205001638 |
| 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 | 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 | 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 | Vinosha Balakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346552718 PECOS PAC ID: 3072810852 Enrollment ID: I20160322000831 |
| Provider Name | Sheana Kamyszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754743 PECOS PAC ID: 0143510859 Enrollment ID: I20160609000219 |
| 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 | Zachary J Sawaya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124382353 PECOS PAC ID: 9032368139 Enrollment ID: I20160909001949 |
| 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 | Peter Andrew Lasater |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356755433 PECOS PAC ID: 4789809310 Enrollment ID: I20170404001419 |
| Provider Name | Olga G Dewald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710397690 PECOS PAC ID: 2264734631 Enrollment ID: I20170609000955 |
| Provider Name | Rajiv Deochand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139220 PECOS PAC ID: 5991023244 Enrollment ID: I20180627002907 |
| Provider Name | Michelle Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543372 PECOS PAC ID: 2062730310 Enrollment ID: I20180703001729 |
| Provider Name | Ashley L Aultman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629456264 PECOS PAC ID: 5193030849 Enrollment ID: I20180802002027 |
| Provider Name | Vicki Lee Yazzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699197905 PECOS PAC ID: 2466703749 Enrollment ID: I20180926000233 |
| Provider Name | Rachel Ann Bade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522053 PECOS PAC ID: 8123371887 Enrollment ID: I20181025002040 |
| 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 | Katie Tausch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932558830 PECOS PAC ID: 9537450812 Enrollment ID: I20190509000492 |
| Provider Name | Shawn A Munafo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093166217 PECOS PAC ID: 3678865078 Enrollment ID: I20190710002683 |
| Provider Name | Ashley Wolosonowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083255665 PECOS PAC ID: 3678905452 Enrollment ID: I20191115002495 |
| 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 | Jamey M Olvera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619415809 PECOS PAC ID: 4385914381 Enrollment ID: I20200409001867 |
| Provider Name | Andrew Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912357849 PECOS PAC ID: 2567884604 Enrollment ID: I20200618003058 |
| 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 | Dane A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700374121 PECOS PAC ID: 7810243029 Enrollment ID: I20200904000902 |
| Provider Name | Paul Raymond Drenth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367205 PECOS PAC ID: 0941627145 Enrollment ID: I20200914001067 |
| Provider Name | Nicole Lorraine Schelb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741349 PECOS PAC ID: 2860802618 Enrollment ID: I20201105001162 |
| Provider Name | Caleb James Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124628912 PECOS PAC ID: 8325451958 Enrollment ID: I20201228002500 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407784 PECOS PAC ID: 0244646842 Enrollment ID: I20210305001148 |
| Provider Name | Chezney Jane Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594342 PECOS PAC ID: 7517374309 Enrollment ID: I20210323000846 |
| Provider Name | David Jacob Kramp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487145678 PECOS PAC ID: 8426304635 Enrollment ID: I20210506001046 |
| Provider Name | Craig Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104319946 PECOS PAC ID: 6901152115 Enrollment ID: I20210701001180 |
| Provider Name | Vanessa Wieferich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699440206 PECOS PAC ID: 7113322660 Enrollment ID: I20210820001277 |
| Provider Name | Sabin Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619363264 PECOS PAC ID: 6800168238 Enrollment ID: I20210914000728 |
| 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 | Christopher D Trumph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922665868 PECOS PAC ID: 1557695582 Enrollment ID: I20220114000917 |
| Provider Name | Shannon Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245999168 PECOS PAC ID: 4587058425 Enrollment ID: I20220218001208 |
| Provider Name | Daniel Coffey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205493053 PECOS PAC ID: 5890021083 Enrollment ID: I20220222001389 |
| Provider Name | Gerardine Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477059335 PECOS PAC ID: 3375937386 Enrollment ID: I20220308000670 |
| Provider Name | Teresa Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548611338 PECOS PAC ID: 2264728195 Enrollment ID: I20220411002534 |
| Provider Name | Richard F Giannotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902398514 PECOS PAC ID: 1153700042 Enrollment ID: I20220623001828 |
| Provider Name | Bushra Fadhil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780226530 PECOS PAC ID: 5890176143 Enrollment ID: I20220718001278 |
| Provider Name | Rebecca M Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061947 PECOS PAC ID: 8224410196 Enrollment ID: I20220809002701 |
| Provider Name | Kelly Jo Thume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497490692 PECOS PAC ID: 9436532017 Enrollment ID: I20220815001113 |
| Provider Name | Caroline Ann Buday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518696475 PECOS PAC ID: 7012391139 Enrollment ID: I20220908001401 |
| Provider Name | Cecilia First |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205559879 PECOS PAC ID: 0840666558 Enrollment ID: I20221021000205 |
| Provider Name | Mariah K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003539388 PECOS PAC ID: 6800262494 Enrollment ID: I20221024001014 |
| Provider Name | William Sturdavant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104483346 PECOS PAC ID: 6002141280 Enrollment ID: I20221107000633 |
| Provider Name | Thomas Taugher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164042529 PECOS PAC ID: 7517388770 Enrollment ID: I20221212001965 |
| Provider Name | Megan A Boyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568027902 PECOS PAC ID: 8224361514 Enrollment ID: I20230327000103 |
| Provider Name | Alicia Gabriela Hoban |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689291361 PECOS PAC ID: 6901229020 Enrollment ID: I20230405000505 |
| Provider Name | Mina S Salib |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346734142 PECOS PAC ID: 3577893445 Enrollment ID: I20230522001663 |
| Provider Name | Joseph R Wille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073134839 PECOS PAC ID: 7416375415 Enrollment ID: I20230705000515 |
| Provider Name | Abigail Gizinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306461702 PECOS PAC ID: 0143642959 Enrollment ID: I20230720001703 |
| Provider Name | Lawrence Page |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699770941 PECOS PAC ID: 5890894919 Enrollment ID: I20230919000816 |
| 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 | Garrett R Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326813361 PECOS PAC ID: 9436508488 Enrollment ID: I20231215001229 |
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 | |
Mymichigan Medical Center Clare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 Fax: 989-839-1304 | |
Midmichigan Medical Offices - Sixth & Maple Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 W 6th St, Clare, MI 48617 Phone: 989-802-5030 |