ENT Care of Michigan PLC
A Medicare group practice based in Sterling Heights, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466827753), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466827753
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230419002237 | MI | Part B Supplier - Clinic/Group Practice | 1114632932 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
ENT Care of Michigan PLC
- Otolaryngology Physician
- Waterford, MI
- NPI 1114632932
-
ENT Care of Michigan PLC
- Audiologist
- Waterford, MI
- NPI 1871282772
Practice locations
- Waterford, MI1
- Sterling Heights, MI1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).
-
Marwan Boulis, MD
- Otolaryngology Physician
- Waterford, MI
- NPI 1861981763
-
Anthony Peter Di Ponio, DO
- Otolaryngology Physician
- Waterford, MI
- NPI 1003443763
-
Kalee Easter, AU.D.
- Audiologist
- Ypsilanti, MI
- NPI 1972160752
-
Lori Martin, AU.D.
- Audiologist
- Ann Arbor, MI
- NPI 1689366122
-
Ashley McNay
- Audiologist
- Waterford, MI
- NPI 1730010208
-
Eric Fahed Succar, MD
- Otolaryngology Physician
- Waterford, MI
- NPI 1124361621
-
Madeline Jenkins Succar, APRN, NP-C
- Nurse Practitioner
- Southfield, MI
- NPI 1497114904
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.