Great Lakes Recovery Centers

A Medicare group practice based in Sault Ste Marie, MI: 17 NPIs enrolled under one PECOS associate control ID (PAC ID 9133317936), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9133317936The 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
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 12 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20101221000468 MI Part B Supplier - Clinic/Group Practice 1578545141

NPIs in this group 17

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).

Sources for this page