Marc Davis, MD
Individual provider Active NPI Family Medicine Physician · Hemlock, MI
NPI 1891777140 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1891777140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301073514 (MI)
- Practice address
- 16440 Gratiot Rd
Hemlock, MI 48626-8655 - Phone
- (989) 583-0660
- Fax
- (989) 583-0669
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000396 | MI | Practitioner - Family Practice | 2264575851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current |
Accepting new patients | |
| Covenant Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
Locations
16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301073514 | MI | Yes |
Addresses
Primary practice location
16440 Gratiot Rd
Hemlock, MI 48626-8655
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204068 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 5981692 | Other | MI | AETNA |
| 080D410020 | Other | MI | BLUE CHOICE |
| F85987 | Other | MI | HEALTH NET FEDERAL SERVIC |
| 080D410020 | Other | MI | BLUE CARE NETWORK |
| 0984691 | Other | MI | HEALTH PLUS |
| 3527328 | Medicaid | MI | |
| 0804400401 | Other | MI | BLUE CROSS BLUE SHIELD |
| 080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
| 204068 | Other | MI | MCLAREN HEALTH PLAN |
| F85987 | Other | MI | HAP |
| 080D410020 | Other | MI | COMMUNITY BLUE |
| C7488 | Other | MI | MCARE |
Other providers in Hemlock, MI
- Eric Peter Bash
- Lisa Bourcier
- William Brooks
- Cognitive Ignition, L.L.C.
- Christopher Anthony Corrigan
- Maureen K Eagan
- Brenna Marie Earley
- Denise Michelle Elder
- Frankenmuth Family Dental Associates
- Leah Marie Gaeth
All providers in Hemlock, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.