East Jordan Family Health Center

A Medicare group practice based in Bellaire, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8325932510), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325932510The 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
3
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040210000099 MI Part B Supplier - Clinic/Group Practice 1114958691
O20080812000646 MI Part A Provider - Federally Qualified Health Center (FQHC) 1114958691
O20060907000200 MI Part A Provider - Federally Qualified Health Center (FQHC) 1376750091

NPIs in this group 3

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (8).

Sources for this page