Lakeland Community Hospital Watervliet

A Medicare group practice based in Coloma, MI: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 7416942750), with 158 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416942750The 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
Enrolled in
MI
Enrollments
9
Group size
66 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 7 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040416000984 MI Part B Supplier - Clinic/Group Practice 1023114741
O20070119000280 MI Part A Provider - Rural Health Clinic 1508924770
O20070119000339 MI Part A Provider - Rural Health Clinic 1023114741
O20070119000297 MI Part A Provider - Rural Health Clinic 1083710701
O20131210000016 MI Part A Provider - Rural Health Clinic 1538592753
O20131029002202 MI Part B Supplier - Clinic/Group Practice 1538592753
O20240803000139 MI Part A Provider - Rural Health Clinic 1184467607
O20081120000739 MI Part A Provider - Hospital 1033243399
O20101015000129 MI Part A Provider - Hospital 1700994845

NPIs in this group 8

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 158

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (156) or whom Care Compare lists as members (66).

Sources for this page