Egger Medical PLLC
Organization Active NPI Pain Clinic/Center · Grosse Ile, MI
NPI 1134739030 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1134739030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- Legal business name
- EGGER MEDICAL PLLC
- Practice address
- 8950 Macomb St
Grosse Ile, MI 48138-1577 - Phone
- (734) 307-7037
- NPI assigned
- Aug 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Andrew Egger, MD
- Title
- Manager
- Phone
- (734) 709-5377
Practitioners 4
-
Andrew David Egger, M.D.
-
Beth Ann Hedke, ATC
-
Satu-Paivi Sipila, PT, OMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200831000629 | MI | Part B Supplier - Clinic/Group Practice | 8123445566 |
Receives reassigned benefits from 1 practitioner Practice locations: Grosse Ile, MI; Saline, MI |
National Provider Directory
Locations
8950 Macomb St
Grosse Ile, MI 48138
Phone (734) 307-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Pain Clinic/Center | 261QP3300X | Yes | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
8950 Macomb St
Grosse Ile, MI 48138-1577
Mailing address
737 Knollwood CT
Saline, MI 48176-1314
Phone (734) 709-5377
Other providers in Grosse Ile, MI
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All providers in Grosse Ile, MI · Pain Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.