Portage Hospital LLC
A Medicare group practice based in Hancock, MI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1951538883), with 44 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1951538883
- Provider type
- DME Supplier - Hospital, Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 6
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 14
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140123000490 | MI | Part A Provider - Hospital | 1245667229 |
| O20140122000448 | MI | Part A Provider - Skilled Nursing Facility | 1104253921 |
| O20140224000087 | MI | Part B Supplier - Clinic/Group Practice | 1245667229 |
| O20140120000451 | MI | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1366879199 |
| O20140227001769 | MI | DME Supplier - Hospital | 1710314547 |
| O20140123001486 | MI | Part A Provider - Hospital | 1821425612 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Portage Hospital LLC
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
-
Portage Hospital LLC
dba Portage Health Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hancock, MI
- NPI 1366879199
-
Portage Hospital LLC
dba UP Health System Portage
- Durable Medical Equipment & Medical Supplies
- Hancock, MI
- NPI 1710314547
-
Portage Hospital LLC
dba Portage Health
- Medicare Defined Swing Bed Hospital Unit
- Hancock, MI
- NPI 1821425612
Practice locations
- Hancock, MI6
- Houghton, MI4
- Lake Linden, MI2
- Calumet, MI2
Clinicians 44
Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (3).
-
Andrew Lawrence Atkinson, M.D.
- Obstetrics & Gynecology Physician
- Ishpeming, MI
- NPI 1558768127
-
Sara Barnett, CRNA
- Certified Registered Nurse Anesthetist
- Kalamazoo, MI
- NPI 1407821598
-
David James Bradley, M.D.
- Pediatric Cardiology Physician
- Ann Arbor, MI
- NPI 1184703654
-
Michael D Carter, M.D.
- Orthopaedic Surgery Physician
- Wilmington, NC
- NPI 1245207919
-
Brandon J Churchman, PA-C, DDS
- Physician Assistant
- Grand Rapids, MI
- NPI 1548423015
-
Jeffrey Allen Conklin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
- NPI 1598870719
-
Timothy B Cotts, MD
- Pediatric Cardiology Physician
- Ann Arbor, MI
- NPI 1306852546
-
Mark David Cowan, MD
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1932144938
-
Gary Merle Friesen, MD
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1730123183
-
Nelson Eric Gencheff, DO
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1073557435
-
Jerry Russell Hill, CRNA
- Certified Registered Nurse Anesthetist
- Laurium, MI
- NPI 1821099060
-
Charlene Howland, CRNA
- Certified Registered Nurse Anesthetist
- Dowagiac, MI
- NPI 1295715878
-
Scott James Kantola, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Wausau, WI
- NPI 1326211384
-
Kathryn E Kass, PA
- Medical Physician Assistant
- Hancock, MI
- NPI 1326371816
-
Kirk R Klemme, MD
- Addiction Medicine (Internal Medicine) Physician
- Hancock, MI
- NPI 1609836139
-
Petio Vladimirov Kotov, MD
- Cytopathology Physician
- Burlington, VT
- NPI 1790731651
-
George Alan Krzymowski, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
- NPI 1417905258
-
Tara Lynn Lassila, P.A.
- Physician Assistant
- Hancock, MI
- NPI 1356527063
-
Thomas Dale Legalley, MD
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1255375614
-
Amy Martyanov, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Marquette, MI
- NPI 1922270768
-
Martin Hugh Matthews, MD
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
- NPI 1659448801
-
Tracey Lyn McMullen, CRNA
- Certified Registered Nurse Anesthetist
- Big Rapids, MI
- NPI 1518919539
-
Joni A Meyers, CRNA
- Certified Registered Nurse Anesthetist
- Bingham Farms, MI
- NPI 1518924448
-
Megan Mukavetz, P.A.
- Physician Assistant
- Jackson, MI
- NPI 1699702944
-
Jeremy Michael Nicoski
- Certified Registered Nurse Anesthetist
- Hancock, MI
- NPI 1336786078
-
Dawn Nulf, MD
- Emergency Medicine Physician
- Hancock, MI
- NPI 1477566636
-
John Michael Pap, MD
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1093750085
-
David Arvo Pesola, MD
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1285662015
-
Brita Pietila, PA
- Physician Assistant
- Southfield, MI
- NPI 1225485881
-
Tara Ann Robinette, MD
- Emergency Medicine Physician
- Hancock, MI
- NPI 1962796383
-
Ernesto Alonzo Rodriguez, CRNA
- Certified Registered Nurse Anesthetist
- Janesville, WI
- NPI 1235161027
-
Ronald A Ronquist, M.D.
- Orthopaedic Surgery Physician
- Hancock, MI
- NPI 1255340063
-
Michael Conrad Salmi, CRNA
- Certified Registered Nurse Anesthetist
- Hancock, MI
- NPI 1043360431
-
Ron Seth Seligman, CRNA
- Certified Registered Nurse Anesthetist
- Severna Park, MD
- NPI 1538151501
-
Peter Skellenger
- Certified Registered Nurse Anesthetist
- Marquette, MI
- NPI 1003288531
-
Alan Gerald Smith
- Certified Registered Nurse Anesthetist
- Bloomfield Hills, MI
- NPI 1376908863
-
Thor M Thorsson, M.D.
- Pediatric Cardiology Physician
- Ann Arbor, MI
- NPI 1649462425
-
Kristen Tweedy, CRNA
- Certified Registered Nurse Anesthetist
- Hancock, MI
- NPI 1891133559
-
Steven J Verbridge, D.O.
- General Practice Physician
- Marquette, MI
- NPI 1093764706
-
Michael Verive, M.D.
- Pediatric Critical Care Medicine Physician
- Hancock, MI
- NPI 1245278456
-
Ronald A Voice, MD
- Cardiovascular Disease Physician
- Hancock, MI
- NPI 1174521975
-
Matthew A Waggoner, P.A.-C.
- Physician Assistant
- Ann Arbor, MI
- NPI 1710991732
-
Hans Wolslau, DO
- Emergency Medicine Physician
- Aurora, CO
- NPI 1588825301
-
David J Woltmann, DO
- Nephrology Physician
- Lansing, MI
- NPI 1548283567
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.