Evergreen Physical Therapy Limited Partnership

A Medicare group practice based in Gladwin, MI: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 7618074220), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618074220The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20070516000180 MI Part B Supplier - Clinic/Group Practice 1295740637

NPIs in this group 7

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).

Sources for this page