Great Lakes Orthopedics & Sports Medicine, PC
A Medicare group practice based in Saint John, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062306384), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2062306384
- Also listed as
- Great Lakes Orthopedics and Sports Medicine, PC
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IN
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040209001009 | IN | Part B Supplier - Clinic/Group Practice | 1669472270 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Great Lakes Orthopedics & Sports Medicine, PC
- Orthopaedic Surgery Physician
- Saint John, IN
- NPI 1669472270
-
Great Lakes Orthopedics and Sports Medicine, P.C.
- Physical Therapist
- Crown Point, IN
- NPI 1336363266
Practice locations
- Lowell, IN1
- Saint John, IN1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).
-
Kristen M Giacomin, N.P.
- Nurse Practitioner
- Merrillville, IN
- NPI 1952950560
-
Mariah Nicole Lopez, PA-C
- Physician Assistant
- Miamisburg, OH
- NPI 1639648322
-
Natasha Mandula, DPM
- Podiatrist
- Crown Point, IN
- NPI 1851682561
-
Curt Joseph Martini Jr., DPM
- Foot & Ankle Surgery Podiatrist
- Redding, CA
- NPI 1427583756
-
Rami W Musleh, PA C
- Surgical Physician Assistant
- Saint John, IN
- NPI 1053358580
-
Keith R. Pitchford, D.O.
- Orthopaedic Surgery Physician
- Saint John, IN
- NPI 1568462729
-
Matthew J. Stinson, PA
- Surgical Physician Assistant
- Muncie, IN
- NPI 1972510618
-
Alyssa Kay Tripp, PA
- Physician Assistant
- San Francisco, CA
- NPI 1710459839
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.