NPIMap

Western Wayne Family Health Centers

A Medicare group practice based in Lincoln Park, MI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4082617998), with 43 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082617998The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
5
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20060815000295 MI Part A Provider - Federally Qualified Health Center (FQHC) 1972530277
O20060926000287 MI Part B Supplier - Clinic/Group Practice 1972530277
O20140414000863 MI Part A Provider - Federally Qualified Health Center (FQHC) 1508280116
O20191209001264 MI Part A Provider - Federally Qualified Health Center (FQHC) 1649820986
O20090527000261 MI Part A Provider - Federally Qualified Health Center (FQHC) 1023250412

NPIs in this group 5

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 43

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (15).

Sources for this page