| Sunrise Pace | |
|
5229 Lakeshore Road Fort Gratiot MI 48059 | |
| (810) 388-6300 | |
| (810) 388-6305 |
| Full Name | Sunrise Pace |
|---|---|
| Speciality | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Location | 5229 Lakeshore Road, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Robert Brown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9898934506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Pace 1615 S Euclid Ave Bay City MI 48706-3319 Ph: (989) 893-4506 | Sunrise Pace 5229 Lakeshore Road Fort Gratiot MI 48059 Ph: (810) 388-6300 |
| NPI Number | 1477654127 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638473911 |
|---|---|
| Medicare Enrollment ID | O20160205002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477654127 | NPI | - | NPPES |
| 4509404 | Other | MI | TARGETED CARE MANAGEMENT |
| 4508917 | Medicaid | MI |
| Provider Name | Edward J Canfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528152139 PECOS PAC ID: 0143207258 Enrollment ID: I20040804000266 |
| Provider Name | Nanette Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679568828 PECOS PAC ID: 9234191578 Enrollment ID: I20041101000187 |
| Provider Name | Shelliann M Endline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275682437 PECOS PAC ID: 7911161021 Enrollment ID: I20120620000695 |
| Provider Name | Bridget Ann Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012308 PECOS PAC ID: 3779703889 Enrollment ID: I20141013000098 |
| Provider Name | Melissa M Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134674666 PECOS PAC ID: 6305123852 Enrollment ID: I20170510001302 |
| Provider Name | Krista Marie Heckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306333927 PECOS PAC ID: 4385908276 Enrollment ID: I20180430002657 |
| Provider Name | Leia Marie Hoyt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710575071 PECOS PAC ID: 0345654166 Enrollment ID: I20210205000971 |
B. Nakhleh, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |
Randy J. Plonka M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5979 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-6370 Fax: 810-385-6357 | |
Lighthouse Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Horizon Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3041 Commerce Dr Ste B, Fort Gratiot, MI 48059 Phone: 810-385-4342 | |
Port Huron Mercy Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |
Lake Huron Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 |