| Plasencia Family Medicine Pllc | |
|
4705 Towne Ctr Suite 202 Saginaw MI 48604-2818 | |
| (989) 791-3401 | |
| (989) 791-3466 |
| Full Name | Plasencia Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4705 Towne Ctr, Saginaw, Michigan |
| Authorized Official Name and Position | Jorge Plasencia (OWNER) |
| Authorized Official Contact | 9897913401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plasencia Family Medicine Pllc 4705 Towne Centre Rd Suite 202 Saginaw MI 48604-2818 Ph: (989) 791-3401 | Plasencia Family Medicine Pllc 4705 Towne Ctr Suite 202 Saginaw MI 48604-2818 Ph: (989) 791-3401 |
| NPI Number | 1982642898 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 0446289623 |
|---|---|
| Medicare Enrollment ID | O20050808000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982642898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge M Plasencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466346 PECOS PAC ID: 7113914227 Enrollment ID: I20040429001068 |
| Provider Name | Ileana Marie Daly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629636188 PECOS PAC ID: 3173857919 Enrollment ID: I20220929000777 |
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