| Superior Walk-in Center, Pc | |
|
1414 W Fair Ave Suite 134 Marquette MI 49855-2675 | |
| (906) 226-2233 | |
| (906) 226-2409 |
| Full Name | Superior Walk-in Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| Authorized Official Name and Position | Kurt Richard Olson (PRESIDENT) |
| Authorized Official Contact | 9063874220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Walk-in Center, Pc 1504 Sand Point Rd Munising MI 49862-1406 Ph: (906) 387-4220 | Superior Walk-in Center, Pc 1414 W Fair Ave Suite 134 Marquette MI 49855-2675 Ph: (906) 226-2233 |
| NPI Number | 1497806418 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/14/2008 |
| Medicare PECOS PAC ID | 6204837057 |
|---|---|
| Medicare Enrollment ID | O20070123000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497806418 | NPI | - | NPPES |
| 080Z210080 | Other | MI | BLUE CROSS GROUP |
| 0800217321 | Other | MI | BLUE CROSS OF MI |
| 3114604 | Medicaid | MI | |
| 135602000 | Other | MI | US DEPT OF LABOR |
| 23D961305 | Other | MI | CLIA |
| 135602000 | Other | MI | UNITED STATES POST OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christine M Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912008376 PECOS PAC ID: 8325096134 Enrollment ID: I20050108000087 |
| Provider Name | Mark W Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043254626 PECOS PAC ID: 1254433345 Enrollment ID: I20070220000413 |
| Provider Name | Christy L Garnsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053568642 PECOS PAC ID: 1658439757 Enrollment ID: I20081017000580 |
| Provider Name | Michelle L Heslip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851545313 PECOS PAC ID: 0446305403 Enrollment ID: I20090827000581 |
| Provider Name | Kurt R Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457309569 PECOS PAC ID: 2264433010 Enrollment ID: I20101007001037 |
| Provider Name | Kellie E Shipkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154609675 PECOS PAC ID: 4981870292 Enrollment ID: I20120106000595 |
| Provider Name | Christina A Bambach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136575 PECOS PAC ID: 3678733987 Enrollment ID: I20120327000752 |
| Provider Name | Karen S Freeborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588146765 PECOS PAC ID: 5193077667 Enrollment ID: I20181010003198 |
| Provider Name | Anthony J Jurecic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730712969 PECOS PAC ID: 4587092226 Enrollment ID: I20200312000397 |
| Provider Name | Justin S Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467063966 PECOS PAC ID: 8820414964 Enrollment ID: I20200819002178 |
| Provider Name | Rachel E Teifke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689265845 PECOS PAC ID: 6305253311 Enrollment ID: I20210318000619 |
| Provider Name | Ryan K Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942875729 PECOS PAC ID: 2668875790 Enrollment ID: I20210727000712 |
| Provider Name | Rachel L Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952072035 PECOS PAC ID: 3971992405 Enrollment ID: I20211122002537 |
| Provider Name | Angela V Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861155178 PECOS PAC ID: 8022408657 Enrollment ID: I20211214000858 |
Monarch Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 County Road Hq, Marquette, MI 49855 Phone: 906-273-0072 Fax: 906-273-0559 | |
Marquette Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 249, Marquette, MI 49855 Phone: 906-449-2900 Fax: 906-449-2945 | |
Jeffrey S Karr Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Marquette, MI 49855 Phone: 906-251-0287 | |
Singletrack Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 W Main St, Suite 2, Marquette, MI 49855 Phone: 906-662-4070 Fax: 906-662-4091 | |
Medical Acne & Skin Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 W. Ridge St., Marquette, MI 49855 Phone: 906-235-4486 Fax: 906-680-4077 | |
Heritage Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Harbor Hills Dr Ste B, Marquette, MI 49855 Phone: 616-260-0086 | |
Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Ste 111, Marquette, MI 49855 Phone: 906-225-7601 Fax: 906-225-7453 |