Memorial Medical Center of West Michigan

A Medicare group practice based in Ludington, MI: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 3678543659), with 189 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678543659The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
MI
Enrollments
9
Group size
62 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 5 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040728000098 MI Part A Provider - Hospital 1972589489
O20071128000647 MI Part B Supplier - Clinic/Group Practice 1972589489
O20190801000526 MI Part A Provider - Rural Health Clinic 1932662996
O20190711000124 MI Part A Provider - Rural Health Clinic 1730642794
O20141212001020 MI Part A Provider - Rural Health Clinic 1861800674
O20170111001180 MI Part A Provider - Rural Health Clinic 1538528872
O20150619002207 MI Part A Provider - Rural Health Clinic 1346628518
O20160425000094 MI Part A Provider - Rural Health Clinic 1982063210
O20240109002912 MI Part B Supplier - Intensive Cardiac Rehabilitation 1972589489

NPIs in this group 9

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 189

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (185) or whom Care Compare lists as members (62).

Sources for this page