Great Lakes Therapy Housecalls PC

A Medicare group practice based in Traverse City, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719876580), with 74 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719876580The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
2
Group size
71 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040311000704 MI Part B Supplier - Clinic/Group Practice 1649480674
O20120827000773 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1093069734

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 74

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (71).

Sources for this page