Nicholas S Beechnau (NPI# 1164784724, PAC ID# 1658507637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164784724 |
| PAC ID by PECOS | 1658507637 |
| Professional Enrollment ID | I20131121000921 |
| Full Name | Nicholas S Beechnau |
| Organization Legal Name | RAVENNA FAMILY PRACTICE PC |
| Address |
12520 Crockery Creek Dr Ravenna MI 49451-5100 |
| Phone Number | 2318536725 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8224023148 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 | 2318536725 | RAVENNA FAMILY PRACTICE PC |
| Organization Legal Name | RAVENNA FAMILY PRACTICE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy L Beechnau | General Practice | Ravenna Family Practice PC | 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 |
| Kelley Marie Young | Nurse Practitioner | Ravenna Family Practice PC | 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 |
| Street Address |
12520 CROCKERY CREEK DR |
| City | RAVENNA |
| State | MI |
| Zip | 49451-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy L Beechnau | General Practice | Ravenna Family Practice PC | 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 |
| Kelley Marie Young | Nurse Practitioner | Ravenna Family Practice PC | 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Stanley Pline | Family Medicine | Apple Family Medicine, P.l.c. | 1042 S Ravenna Rd, Ravenna, MI 49451-9583 |
| Bonnie Jean Pline | Family Medicine | Apple Family Medicine, P.l.c. | 1042 S Ravenna Rd, Ravenna, MI 49451-9583 |
| Anita J Curtis Macdonald | Chiropractic | 23760 36th Ave, Ravenna, MI 49451-9604 |
| City | RAVENNA |
| Zip Code | 49451 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RAVENNA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas S Beechnau.
| 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.