Bay Mills Indian Community
A Medicare group practice based in Brimley, MI: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 8729079918), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8729079918
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 5
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120824000045 | MI | Part B Supplier - Ambulance Service Supplier | 1326005273 |
| O20100603000514 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1053592089 |
| O20040518000950 | MI | Part B Supplier - Clinic/Group Practice | 1053592089 |
| O20240507002489 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1669235974 |
| O20240104002493 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1366409237 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bay Mills Indian Community
- Federally Qualified Health Center (FQHC)
- Brimley, MI
- NPI 1053592089
-
Bay Mills Indian Community
dba Bay Mills Emergency Connection
- Land Ambulance
- Brimley, MI
- NPI 1326005273
-
Bay Mills Indian Community
dba Mitigoons Dental
- Federally Qualified Health Center (FQHC)
- Sault Sainte Marie, MI
- NPI 1366409237
-
Bay Mills Indian Community
dba Brimley Area Schools
- Federally Qualified Health Center (FQHC)
- Brimley, MI
- NPI 1669235974
-
Bay Mills Indian Community
- Federally Qualified Health Center (FQHC)
- Brimley, MI
- NPI 1073711057
-
Bay Mills Indian Community
dba Bay Mills Health Center
- Federally Qualified Health Center (FQHC)
- Brimley, MI
- NPI 1952388175
Practice locations
- Brimley, MI4
- Sault Sainte Marie, MI1
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (13).
-
Bradley Baker, LLMSW
- Clinical Social Worker
- Ypsilanti, MI
- NPI 1386207967
-
Kristine Balash, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sault Sainte Marie, MI
- NPI 1063233609
-
Chase T Bouschor, LMSW
- Clinical Social Worker
- Dearborn, MI
- NPI 1396480224
-
Jennifer Cifelli
- Clinical Social Worker
- Sault Sainte Marie, MI
- NPI 1952735979
-
Dolly Marie Coullard, NP-C
- Family Nurse Practitioner
- Brimley, MI
- NPI 1245516152
-
Robert J Devers, PSYD
- Psychologist
- Sault Sainte Marie, MI
- NPI 1922109636
-
Ashly P. Ellis
- Family Nurse Practitioner
- Sault Sainte Marie, MI
- NPI 1285910984
-
Rebecca Gomez de Tuinstra, PHD
- Clinical Psychologist
- Byron Center, MI
- NPI 1386192409
-
Renee A Johnson, LMSW
- Clinical Social Worker
- Brimley, MI
- NPI 1821297318
-
Danielle Lynn Leblanc, NP-C
- Family Nurse Practitioner
- Brimley, MI
- NPI 1053923763
-
Robert H Mackie, M.D.
- Family Medicine Physician
- Sault Sainte Marie, MI
- NPI 1891797098
-
Daniel C Maloney, M.D.
- Family Medicine Physician
- Brimley, MI
- NPI 1760421499
-
Zara Masood, M.D.
- Psychiatry Physician
- Sault Sainte Marie, MI
- NPI 1801220769
-
Emily Ann Miszewski, OD
- Optometrist
- Sault Ste Marie, MI
- NPI 1912699141
-
Kevin Nelson, LMSW
- Clinical Social Worker
- Sault Sainte Marie, MI
- NPI 1972923514
-
Ashley M O'Dwyer, OD
- Optometrist
- Wasilla, AK
- NPI 1639606700
-
Mark Wesley Osorio, O.D.
- Optometrist
- Livonia, MI
- NPI 1467666248
-
Karen Joy Perkins, NP-C
- Family Nurse Practitioner
- Brimley, MI
- NPI 1730738089
-
Jill Irene Sayer, NP
- Psychiatric/Mental Health Nurse Practitioner
- Kincheloe, MI
- NPI 1861500142
-
William Roy Shouldice, OD
- Optometrist
- Gaylord, MI
- NPI 1275611246
-
Karen Louise Thompson, LPC
- Professional Counselor
- Brimley, MI
- NPI 1528950441
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.