Gary E Willey
Individual provider Active NPI Chiropractor · Onaway, MI
NPI 1316916083 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1316916083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301004559 (MI)
- Practice address
- 3803 S Veterans Dr
Onaway, MI 49765-5108 - Phone
- (989) 733-8610
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
323 N Main St
Cheboygan, MI 49721-1586
Phone (231) 627-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000629 | MI | Practitioner - Chiropractic | 3678740388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004559 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Gary E Willey PC | Chiropractor | Current |
Accepting new patients |
Locations
323 N Main St
Cheboygan, MI 49721
Phone (231) 627-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004559 | MI | Yes |
Addresses
Primary practice location
3803 S Veterans Dr
Onaway, MI 49765-5108
Mailing address
PO Box 327
Onaway, MI 49765-0327
Phone (989) 733-8610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G15006 | Other | MI | BCBSM |
Other providers in Onaway, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.