Kelsie L Passmore (NPI# 1639660947, PAC ID# 7719237411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1639660947 |
PAC ID by PECOS | 7719237411 |
Professional Enrollment ID | I20180829004393 |
Full Name | Kelsie L Passmore |
Organization Legal Name | MCLAREN PRIMARY CARE |
Address |
558 Lockwood Ln Mio MI 48647-9387 |
Phone Number | 9898263271 |
Gender | F |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2018 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1850327487 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230041 | MCLAREN BAY REGION |
230095 | WEST BRANCH REGIONAL MEDICAL CENTER |
230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
Address | Phone | Organization |
---|---|---|
558 Lockwood Ln, Mio, MI 48647-9387 | 9898263271 | MCLAREN PRIMARY CARE |
2110 S M, 76 Suite 6, West Branch, MI 48661-8737 | 9893451184 | MCLAREN PRIMARY CARE |
Organization Legal Name | MCLAREN PRIMARY CARE |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Vanwormer | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Deborah L Richardson | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Tamyra A Henigan | Nurse Practitioner | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Theodore A Bash | Family Medicine | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Jessica R Bennett | Nurse Practitioner | Mclaren Primary Care | 2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312 |
Jenny K David | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Kerri A Stephens | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Michelle E Vanoosten | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
John P Wilkins | Family Medicine | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Kimberly K Provoast | Physician Assistant | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Street Address |
558 LOCKWOOD LN |
City | MIO |
State | MI |
Zip | 48647-9387 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamyra A Henigan | Nurse Practitioner | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly S Hunter | Chiropractic | 200 S Deyarmond St, Suite C, Mio, MI 48647-9108 |
City | MIO |
Zip Code | 48647 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MIO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelsie L Passmore.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.