Blue Water Mental Health Clinic

A Medicare group practice based in Fort Gratiot, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2769477264), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769477264The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20060531000214 MI Part B Supplier - Clinic/Group Practice 1457305419

NPIs in this group 2

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (23).

Sources for this page