| Northern Michigan Hematology And Oncology | |
|
560 W Mitchell St Suite 185 Petoskey MI 49770-2275 | |
| (231) 487-3478 | |
| (231) 487-3578 |
| Full Name | Northern Michigan Hematology And Oncology |
|---|---|
| Speciality | Specialist |
| Location | 560 W Mitchell St, Petoskey, Michigan |
| Authorized Official Name and Position | Catherine M. Devet (PRESIDENT AND CEO) |
| Authorized Official Contact | 2314874000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Michigan Hematology And Oncology 560 W Mitchell St Suite 185 Petoskey MI 49770-2275 Ph: (231) 487-3478 | Northern Michigan Hematology And Oncology 560 W Mitchell St Suite 185 Petoskey MI 49770-2275 Ph: (231) 487-3478 |
| NPI Number | 1114028982 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 2668386368 |
|---|---|
| Medicare Enrollment ID | O20031117000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114028982 | NPI | - | NPPES |
| Provider Name | Elena C Coppola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760689665 PECOS PAC ID: 8325193238 Enrollment ID: I20090828000239 |
| Provider Name | Sara M Belopavlovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487993440 PECOS PAC ID: 5193963213 Enrollment ID: I20130531000560 |
| Provider Name | Kalub A Fedak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225353139 PECOS PAC ID: 1850527375 Enrollment ID: I20131111001439 |
| Provider Name | Rebecca M Woltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437609146 PECOS PAC ID: 7719266311 Enrollment ID: I20161123001317 |
| Provider Name | Emily Joy Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518571231 PECOS PAC ID: 2062832959 Enrollment ID: I20201014002624 |
| Provider Name | Ashley G Matusz-fisher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356703722 PECOS PAC ID: 2365778446 Enrollment ID: I20220823004063 |
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