Mid Michigan Oral Surgery PC
A Medicare group practice based in Grand Ledge, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274504881), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274504881
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040805000351 | MI | Part B Supplier - Clinic/Group Practice | 1174516413 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mid Michigan Oral Surgery PC
- Oral and Maxillofacial Surgery (Dentist)
- East Lansing, MI
- NPI 1174516413
-
Mid Michigan Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Charlotte, MI
- NPI 1861650095
-
Mid Michigan Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Grand Ledge, MI
- NPI 1942468186
Practice locations
- Charlotte, MI1
- East Lansing, MI1
- Grand Ledge, MI1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Mark E Beckman, D.D.S.,M.S.
- Oral and Maxillofacial Surgery (Dentist)
- East Lansing, MI
- NPI 1932198835
-
Vincent Vern Benivegna, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- East Lansing, MI
- NPI 1326032988
-
Sean E Pack, DDS MD
- Oral and Maxillofacial Surgery (Dentist)
- East Lansing, MI
- NPI 1083901425
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.