Great Lakes Foot & Ankle Institute PLLC

A Medicare group practice based in Chesterfield, MI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1557323904), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557323904The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Great Lakes Foot and Ankle Institute PLLCName in Care Compare
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
MI
Enrollments
5
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 7 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20210811002518 MI Part B Supplier - Independent Clinical Laboratory 1417620170
O20041028000887 MI Part B Supplier - Clinic/Group Practice 1063445237
O20100930089489 MI DME Supplier - Physician - Podiatry 1063445237
O20250415001958 MI DME Supplier - Physician - Podiatry 1619729928
O20250415002149 MI DME Supplier - Physician - Podiatry 1922699537

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (15).

Sources for this page