Virginia R Dedicatoria (NPI# 1073599353, PAC ID# 8820147283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1073599353 |
| PAC ID by PECOS | 8820147283 |
| Professional Enrollment ID | I20100421000844 |
| Full Name | Virginia R Dedicatoria |
| Organization Legal Name | GREAT LAKES FAMILY HEALTH CENTER PC |
| Address |
3424 Davenport Ave Saginaw MI 48602-3365 |
| Phone Number | 9897900100 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3072662428 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230070 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3424 Davenport Ave, Saginaw, MI 48602-3365 | 9897900100 | GREAT LAKES FAMILY HEALTH CENTER PC |
| Organization Legal Name | GREAT LAKES FAMILY HEALTH CENTER PC |
| Physicians | 1 |
| Street Address |
3424 DAVENPORT AVE |
| City | SAGINAW |
| State | MI |
| Zip | 48602-3365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodames Dedicatoria | Family Medicine | 3424 Davenport Ave, Saginaw, MI 48602-3365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Walker | Chiropractic | 1705 W Michigan Ave, Saginaw, MI 48602-1136 | |
| Tiffany K Kim | Obstetrics/gynecology | Great Lakes Bay Health Centers | 804 S Hamilton St, Great Lakes Bay Health Centers Old, Saginaw, MI 48602-1516 |
| Shannon E Murphy | Nurse Practitioner | Great Lakes Bay Health Centers | 804 S Hamilton St, Great Lakes Bay Health Centers Old, Saginaw, MI 48602-1516 |
| Nora Weigl | Nurse Practitioner | Great Lakes Bay Health Centers | 804 S Hamilton St, Great Lakes Bay Health Centers Old, Saginaw, MI 48602-1516 |
| Jennifer M Johnson | Physician Assistant | Great Lakes Bay Health Centers | 804 S Hamilton St, Great Lakes Bay Health Centers Old, Saginaw, MI 48602-1516 |
| Trisha S Taylor | Nurse Practitioner | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Kelley Lynn Feltman | Clinical Social Worker | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Andrea L Long | Clinical Social Worker | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Sarah B Kennedy | Clinical Social Worker | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Michael Lynne Buza | Clinical Social Worker | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Find all physicians in zip 48602 | |||
| City | SAGINAW |
| Zip Code | 48602 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SAGINAW + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Virginia R Dedicatoria.
| 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.