Great Lakes Orthopaedics

A Medicare group practice based in Garden City, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3779560818), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3779560818The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080721000267 MI Part B Supplier - Clinic/Group Practice 1740375518
O20100930017775 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1063559391

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

Sources for this page