| Munson Healthcare Otsego Memorial Hospital | |
|
829 N Center Ave Gaylord MI 49735 | |
| (989) 731-7708 | |
| (989) 731-7929 |
| Full Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 829 N Center Ave, Gaylord, Michigan |
| Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) |
| Authorized Official Contact | 2319354995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munson Healthcare Otsego Memorial Hospital 825 N Center Ave Gaylord MI 49735-1592 Ph: (989) 731-2100 | Munson Healthcare Otsego Memorial Hospital 829 N Center Ave Gaylord MI 49735 Ph: (989) 731-7708 |
| NPI Number | 1164628426 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 10/04/2024 |
| Medicare PECOS PAC ID | 8325942535 |
|---|---|
| Medicare Enrollment ID | O20040305000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164628426 | NPI | - | NPPES |
| 23-8607 | Other | CMS CERTIFICATION NUMBER |
| Provider Name | Christine T Wade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083723647 PECOS PAC ID: 8123920923 Enrollment ID: I20040122000822 |
| Provider Name | Kathleen M Pawlanta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225055833 PECOS PAC ID: 3173417763 Enrollment ID: I20040213000066 |
| Provider Name | Thomas A Olen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669497723 PECOS PAC ID: 4284529967 Enrollment ID: I20040220000466 |
| Provider Name | Cheryl J Mordis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780758292 PECOS PAC ID: 2567444284 Enrollment ID: I20040604000825 |
| Provider Name | Jeffrey W Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20040605000130 |
| Provider Name | Craig S Mccardell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821072802 PECOS PAC ID: 6507842283 Enrollment ID: I20040624001130 |
| Provider Name | Steven J Wisniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104851658 PECOS PAC ID: 5294705752 Enrollment ID: I20040730000558 |
| Provider Name | Carl F Schubert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023041274 PECOS PAC ID: 5193797314 Enrollment ID: I20040809001055 |
| Provider Name | Diana L Novak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053362186 PECOS PAC ID: 1355319633 Enrollment ID: I20040923001003 |
| Provider Name | Keith Y Miyamoto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609883842 PECOS PAC ID: 1759350978 Enrollment ID: I20040927000285 |
| Provider Name | Louis S Habryl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427033976 PECOS PAC ID: 3476445156 Enrollment ID: I20050202000086 |
| Provider Name | Khristine C Botezan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912954652 PECOS PAC ID: 7810949773 Enrollment ID: I20050218000492 |
| Provider Name | Renae L Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518923093 PECOS PAC ID: 0749227924 Enrollment ID: I20050408000967 |
| Provider Name | Lynne Mccormick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194779983 PECOS PAC ID: 5496790917 Enrollment ID: I20050624000880 |
| Provider Name | James F Rosenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225003148 PECOS PAC ID: 2264338383 Enrollment ID: I20060505000287 |
| Provider Name | Gilbert A Noirot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508867490 PECOS PAC ID: 0941212534 Enrollment ID: I20060623000078 |
| Provider Name | Nathan A Rousse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356353791 PECOS PAC ID: 0749284792 Enrollment ID: I20060905000338 |
| Provider Name | Marian Roberta-bentley Fuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225053366 PECOS PAC ID: 2163427147 Enrollment ID: I20060926000190 |
| Provider Name | Suzanne A Law |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093796476 PECOS PAC ID: 0042233470 Enrollment ID: I20061113000123 |
| Provider Name | Lisa Allred |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386716223 PECOS PAC ID: 0042219149 Enrollment ID: I20061219000510 |
| Provider Name | Medina H Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548481716 PECOS PAC ID: 8123128584 Enrollment ID: I20070713000592 |
| Provider Name | Roger K Gerstle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285792754 PECOS PAC ID: 3870693260 Enrollment ID: I20070713000768 |
| Provider Name | John D Moffat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053373118 PECOS PAC ID: 4385684257 Enrollment ID: I20070927000713 |
| Provider Name | Lori F Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952474512 PECOS PAC ID: 4587759832 Enrollment ID: I20071001000715 |
| Provider Name | Despina Zefiras Walsworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265554216 PECOS PAC ID: 2567558406 Enrollment ID: I20071023000559 |
| Provider Name | Yasser Kouatli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356555130 PECOS PAC ID: 0244310316 Enrollment ID: I20071231000557 |
| Provider Name | Kristin S Maschke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992778807 PECOS PAC ID: 7810069564 Enrollment ID: I20080711000598 |
| Provider Name | Wayne A Fuller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952390700 PECOS PAC ID: 7012060544 Enrollment ID: I20090807000213 |
| Provider Name | Catherine Bluteau Stoddard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376756643 PECOS PAC ID: 5193879674 Enrollment ID: I20090818000535 |
| Provider Name | David W Miner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700806882 PECOS PAC ID: 9739191214 Enrollment ID: I20091022000144 |
| Provider Name | William E Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598782443 PECOS PAC ID: 2264571496 Enrollment ID: I20091202000123 |
| Provider Name | Changxin Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114958899 PECOS PAC ID: 5395888978 Enrollment ID: I20100204000347 |
| Provider Name | Mary B Seger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518998772 PECOS PAC ID: 2264576354 Enrollment ID: I20100212000078 |
| Provider Name | Jennifer A Atkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518983006 PECOS PAC ID: 0042354763 Enrollment ID: I20100218000823 |
| Provider Name | Marc E Lame |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902833163 PECOS PAC ID: 7416841267 Enrollment ID: I20100308000025 |
| Provider Name | Luis R Collazo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598754715 PECOS PAC ID: 1951436518 Enrollment ID: I20100322000229 |
| Provider Name | Michael H Stargardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184884835 PECOS PAC ID: 3476681271 Enrollment ID: I20100517000077 |
| Provider Name | Michael H Florek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750307443 PECOS PAC ID: 7012046204 Enrollment ID: I20100526000750 |
| Provider Name | Timothy G Esser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659352235 PECOS PAC ID: 7214061050 Enrollment ID: I20100817000052 |
| Provider Name | Robert E Carmody |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487633699 PECOS PAC ID: 0143354589 Enrollment ID: I20100820000023 |
| Provider Name | Joseph Cottingham Jameson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619974060 PECOS PAC ID: 6709980964 Enrollment ID: I20101109000735 |
| Provider Name | Lindsay Leigh Oliveira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942427935 PECOS PAC ID: 9931267101 Enrollment ID: I20110121000649 |
| Provider Name | Nathan A Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811155112 PECOS PAC ID: 8325190671 Enrollment ID: I20110629000519 |
| Provider Name | Margaret L Rorick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699771857 PECOS PAC ID: 4284803925 Enrollment ID: I20110812000662 |
| Provider Name | Justin J Hollander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053538868 PECOS PAC ID: 0042489734 Enrollment ID: I20110815000573 |
| Provider Name | David J Kurn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013153063 PECOS PAC ID: 0749477370 Enrollment ID: I20110914000693 |
| Provider Name | Valda L Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760489561 PECOS PAC ID: 1850563594 Enrollment ID: I20110930000482 |
| Provider Name | Soo Young Hwang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891894689 PECOS PAC ID: 8921267659 Enrollment ID: I20120315000352 |
| Provider Name | Brian H Ngo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174743348 PECOS PAC ID: 8921144007 Enrollment ID: I20120426000052 |
| Provider Name | Matthew J Marquart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164610960 PECOS PAC ID: 8426227372 Enrollment ID: I20121018000314 |
| Provider Name | Julie A Hodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902150741 PECOS PAC ID: 0345493680 Enrollment ID: I20130116000485 |
| Provider Name | Lisa A Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265774269 PECOS PAC ID: 1759522915 Enrollment ID: I20130730000952 |
| Provider Name | Mariana L Perinot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740591908 PECOS PAC ID: 0143462705 Enrollment ID: I20130809000552 |
| Provider Name | Paul J Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
| Provider Name | Matthew A Mazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376719781 PECOS PAC ID: 0345311262 Enrollment ID: I20140226000393 |
| Provider Name | Beth M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811279789 PECOS PAC ID: 7315161940 Enrollment ID: I20140620001460 |
| Provider Name | James R. Shurlow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437383023 PECOS PAC ID: 3375767916 Enrollment ID: I20140620001690 |
| Provider Name | Jay M Ruddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255756375 PECOS PAC ID: 2365662152 Enrollment ID: I20140929002232 |
| Provider Name | Kristy J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720417694 PECOS PAC ID: 5698903227 Enrollment ID: I20141022000462 |
| Provider Name | Megan Kyna Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114335106 PECOS PAC ID: 5294957130 Enrollment ID: I20141110001960 |
| Provider Name | Jennifer L Lawhorn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952564213 PECOS PAC ID: 0143549238 Enrollment ID: I20150512002746 |
| Provider Name | Sarah Ellen Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598146516 PECOS PAC ID: 0244543718 Enrollment ID: I20150714000341 |
| Provider Name | Stephanie Rutterbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649652298 PECOS PAC ID: 5890008528 Enrollment ID: I20150723007937 |
| Provider Name | Eric B Lerche |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225264005 PECOS PAC ID: 9436377645 Enrollment ID: I20150806010950 |
| Provider Name | Glen Macpherson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467429050 PECOS PAC ID: 0446387252 Enrollment ID: I20150806011036 |
| Provider Name | Joshua W Saur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346655149 PECOS PAC ID: 7911217187 Enrollment ID: I20151030002114 |
| Provider Name | Stephanie D Markle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992937403 PECOS PAC ID: 9931326196 Enrollment ID: I20160818000182 |
| Provider Name | Matthew G Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376854653 PECOS PAC ID: 8426344185 Enrollment ID: I20160906001272 |
| Provider Name | Kelly R Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215373451 PECOS PAC ID: 7012203649 Enrollment ID: I20160908001375 |
| Provider Name | Mark Louis Passow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871908897 PECOS PAC ID: 7719273028 Enrollment ID: I20160913002713 |
| Provider Name | Cortney Casper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811331663 PECOS PAC ID: 4587947304 Enrollment ID: I20170711003427 |
| Provider Name | Michael Donald Katona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043889 PECOS PAC ID: 6204109382 Enrollment ID: I20170912002269 |
| Provider Name | Lauren Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925246 PECOS PAC ID: 4082971650 Enrollment ID: I20171207000058 |
| Provider Name | Jordon Alexander Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467954784 PECOS PAC ID: 2466715164 Enrollment ID: I20180411000524 |
| Provider Name | Rose Mary Noetzel Spellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154808418 PECOS PAC ID: 2567713860 Enrollment ID: I20180926001114 |
| Provider Name | Matthew J Dubiel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114280898 PECOS PAC ID: 7911135256 Enrollment ID: I20181008001654 |
| Provider Name | Thomas Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548708 PECOS PAC ID: 8921114265 Enrollment ID: I20181011002416 |
| Provider Name | Phoebe Day Danziger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669885125 PECOS PAC ID: 4183931165 Enrollment ID: I20190912000243 |
| Provider Name | Heather L Bur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356892624 PECOS PAC ID: 0648509877 Enrollment ID: I20190912001984 |
| Provider Name | Meghana Tipparthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710337886 PECOS PAC ID: 0143513226 Enrollment ID: I20191015000453 |
| Provider Name | Emad Kassas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528611175 PECOS PAC ID: 9335571744 Enrollment ID: I20200109001188 |
| Provider Name | Lindsey Marie Ranstadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033674072 PECOS PAC ID: 3375970114 Enrollment ID: I20200217004268 |
| Provider Name | Amanda Radocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750911434 PECOS PAC ID: 2961830526 Enrollment ID: I20200312001499 |
| Provider Name | Shannon Marie Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871143685 PECOS PAC ID: 2365871209 Enrollment ID: I20200329000366 |
| Provider Name | Ashley Borowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295383008 PECOS PAC ID: 4981026788 Enrollment ID: I20200624002551 |
| Provider Name | Lindsay Harden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578883609 PECOS PAC ID: 8123331311 Enrollment ID: I20200720001995 |
| Provider Name | Patricia Lynn Kindsvater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508398405 PECOS PAC ID: 2567736259 Enrollment ID: I20200813002222 |
| Provider Name | Benjamin Vanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508392614 PECOS PAC ID: 0941626337 Enrollment ID: I20200817000769 |
| Provider Name | Carl Tabb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982059242 PECOS PAC ID: 7517258452 Enrollment ID: I20200825002826 |
| Provider Name | Stacey Sensor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588658579 PECOS PAC ID: 8224193016 Enrollment ID: I20201204000387 |
| Provider Name | Jami Grosberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407474364 PECOS PAC ID: 5890107064 Enrollment ID: I20201211000355 |
| Provider Name | Victoria Catherine Watters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689163107 PECOS PAC ID: 4981969052 Enrollment ID: I20210601002614 |
| Provider Name | Jennifer Erin Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767395 PECOS PAC ID: 8921386566 Enrollment ID: I20210615000735 |
| Provider Name | Michael Vanwagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639551559 PECOS PAC ID: 7810200797 Enrollment ID: I20210615001312 |
| Provider Name | Paul K Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285095166 PECOS PAC ID: 2769774918 Enrollment ID: I20210913002034 |
| Provider Name | Tabitha Carolin Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548852130 PECOS PAC ID: 0143628974 Enrollment ID: I20211008002087 |
| Provider Name | Vesna Sokolova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730431099 PECOS PAC ID: 2668863804 Enrollment ID: I20211227000571 |
| Provider Name | Brittany Duell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386317857 PECOS PAC ID: 3274925227 Enrollment ID: I20220125000288 |
| Provider Name | Josephine Anne Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487257382 PECOS PAC ID: 5092100784 Enrollment ID: I20220316000229 |
| Provider Name | Margaret Emily-pawlowski Bovee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649815366 PECOS PAC ID: 1355721465 Enrollment ID: I20220707001542 |
| Provider Name | Jennifer Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447866330 PECOS PAC ID: 1759764533 Enrollment ID: I20220811000159 |
| Provider Name | Carrie Lahaie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700524303 PECOS PAC ID: 1456735059 Enrollment ID: I20220831001553 |
| Provider Name | Daniel B Machue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891173662 PECOS PAC ID: 0941685556 Enrollment ID: I20220919001224 |
| Provider Name | Emily N Mckerchie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366962128 PECOS PAC ID: 9638448491 Enrollment ID: I20221212000648 |
| Provider Name | Ashleigh Kay Catton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720705940 PECOS PAC ID: 2769856145 Enrollment ID: I20230327000981 |
| Provider Name | Stephanie Lee Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699419960 PECOS PAC ID: 8123493558 Enrollment ID: I20230417001256 |
| Provider Name | Kaylyn Swiderek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700582673 PECOS PAC ID: 5991160400 Enrollment ID: I20230504001817 |
| Provider Name | Elizabeth Lynnelle Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063041465 PECOS PAC ID: 5294195764 Enrollment ID: I20230714003233 |
| Provider Name | Jordan Nester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689106270 PECOS PAC ID: 4688943897 Enrollment ID: I20230921003273 |
| Provider Name | Jared L Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114459476 PECOS PAC ID: 6507135175 Enrollment ID: I20230922002257 |
| Provider Name | Charles Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669897492 PECOS PAC ID: 7810345295 Enrollment ID: I20231122003054 |
| Provider Name | Anne Marie Bumbalough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508196510 PECOS PAC ID: 7315395712 Enrollment ID: I20231125000248 |
| Provider Name | Marjorie Lee Beigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164206637 PECOS PAC ID: 6709237258 Enrollment ID: I20240109001726 |
| Provider Name | Benjamin Roose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609286509 PECOS PAC ID: 6800012253 Enrollment ID: I20240208002610 |
| Provider Name | Jessica Anne Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952886400 PECOS PAC ID: 4385082098 Enrollment ID: I20240401001131 |
| Provider Name | Melissa Mary Emerald Noa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295598035 PECOS PAC ID: 0648618710 Enrollment ID: I20240409001920 |
| Provider Name | Edward Carey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679070544 PECOS PAC ID: 1355695032 Enrollment ID: I20240620001678 |
| Provider Name | Andrea Batshon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336769157 PECOS PAC ID: 0840645750 Enrollment ID: I20240725001639 |
| Provider Name | Gianna Guzzardo Valenti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124512793 PECOS PAC ID: 4183970544 Enrollment ID: I20240801002070 |
| Provider Name | Brittany Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598205932 PECOS PAC ID: 0143590133 Enrollment ID: I20240912001498 |
Munson Healthcare Otsego Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1996 Walden Dr, Gaylord, MI 49735 Phone: 989-731-4111 Fax: 989-705-8511 | |
Pine Trees Medical Office, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W Main St, Ste B, Gaylord, MI 49735 Phone: 989-448-2900 | |
Alpine Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865 | |
Donald P. Cousineau Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513 | |
Purehealth Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 W M 32 Ste B, Gaylord, MI 49735 Phone: 248-238-3666 | |
Gaylord Family Practice Associates Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 E M 32, Gaylord, MI 49735 Phone: 989-731-5092 Fax: 989-731-7639 |