Detroit Wayne County Health Authority

A Medicare group practice based in Detroit, MI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4385982271), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385982271The 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
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20190219003271 MI Part B Supplier - Clinic/Group Practice 1962733089
O20260428001007 MI Part A Provider - Federally Qualified Health Center (FQHC) 1063364776
O20260428002052 MI Part A Provider - Federally Qualified Health Center (FQHC) 1245182963
O20251203001765 MI Part A Provider - Federally Qualified Health Center (FQHC) 1508718248

NPIs in this group 4

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).

Sources for this page