Lakeshore Family Care PC
A Medicare group practice based in Manistee, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3274516877), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274516877
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040612000159 | MI | Part B Supplier - Clinic/Group Practice | 1356472872 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lakeshore Family Care, PC
- Family Medicine Physician
- Manistee, MI
- NPI 1356472872
-
Lakeshore Family Care, PC
- Family Medicine Physician
- Arcadia, MI
- NPI 1285924506
Practice locations
- Manistee, MI1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Paul Joseph Antal, M.D.
- Family Medicine Physician
- Manistee, MI
- NPI 1295845469
-
Jacob R Deboni, FNP
- Family Nurse Practitioner
- Manistee, MI
- NPI 1578036091
-
Katie J Dye, PA-C
- Physician Assistant
- Manistee, MI
- NPI 1760700363
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.