| North Macomb Medical Associates Pllc | |
|
66707 Gratiot Ave Lenox MI 48050-2019 | |
| (586) 727-5840 | |
| (586) 727-5897 |
| Full Name | North Macomb Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 66707 Gratiot Ave, Lenox, Michigan |
| Authorized Official Name and Position | Christopher J Frocillo (OWNER) |
| Authorized Official Contact | 5867275840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Macomb Medical Associates Pllc 66707 Gratiot Ave Lenox MI 48050-2019 Ph: (586) 727-5840 | North Macomb Medical Associates Pllc 66707 Gratiot Ave Lenox MI 48050-2019 Ph: (586) 727-5840 |
| NPI Number | 1225103047 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/19/2012 |
| Medicare PECOS PAC ID | 0648175133 |
|---|---|
| Medicare Enrollment ID | O20031208000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225103047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013229 (Michigan) | Primary |
| Provider Name | Heather Marie Plumer Haun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523401 PECOS PAC ID: 0345218582 Enrollment ID: I20040924000189 |
| Provider Name | Robert K Mccowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053380402 PECOS PAC ID: 6507865839 Enrollment ID: I20061213000424 |
| Provider Name | Jude L Stratford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437125473 PECOS PAC ID: 6103966205 Enrollment ID: I20091222000220 |
| Provider Name | Christopher J Frocillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518967835 PECOS PAC ID: 7719883206 Enrollment ID: I20120321000446 |
| Provider Name | Emi Bulica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093371791 PECOS PAC ID: 7810222049 Enrollment ID: I20220701002508 |
William Beauont Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36555 26 Mile Rd, Lenox, MI 48048 Phone: 947-523-4110 |