| Prescott Clinic P.c. | |
|
125 Washington Prescott MI 48756 | |
| (989) 873-3352 | |
| (989) 873-3949 |
| Full Name | Prescott Clinic P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 Washington, Prescott, Michigan |
| Authorized Official Name and Position | William E Berner (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9898927722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Clinic P.c. 125 N Washington St Po Box 114 Prescott MI 48756-5117 Ph: (989) 892-7722 | Prescott Clinic P.c. 125 Washington Prescott MI 48756 Ph: (989) 873-3352 |
| NPI Number | 1881622835 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 0244147171 |
|---|---|
| Medicare Enrollment ID | O20081121000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881622835 | NPI | - | NPPES |
| 233873 | Other | RIVERBEND | |
| 010F510190 | Other | MI | BCBS |
| 114303974 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Michigan) | Primary |
| Provider Name | Gregory A Pinnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841288693 PECOS PAC ID: 5890874655 Enrollment ID: I20080505000490 |
| Provider Name | Nicholas J Orow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396038972 PECOS PAC ID: 9638395130 Enrollment ID: I20140718000159 |
| Provider Name | Jennifer Datzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568005569 PECOS PAC ID: 3870825326 Enrollment ID: I20191101001381 |
| Provider Name | Melinda L Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326649617 PECOS PAC ID: 8628481231 Enrollment ID: I20201228001431 |
Prescott Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Washington St, Prescott, MI 48756 Phone: 989-873-3352 Fax: 989-873-3949 | |
Sterling Area Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1827 Greenwood Rd, Prescott, MI 48756 Phone: 989-873-6200 Fax: 989-873-5563 |