Individual provider Active NPI

Michael Bedell, PA

  • Surgical Physician Assistant
  • Bay City, MI
National Provider Identifier
1508905977
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601002415 Issued in MI
Practice address
3175 West Professional Drive
Bay City, MI 48706
Phone
(989) 894-3278
Fax
(989) 891-8155
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Bay Region 110 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

Hospital & facility affiliations

  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001296 MI Practitioner - Physician Assistant 7517902265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601002415MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Physician Assistant CurrentSince Mar 8, 2009 Accepting new patients
McLaren Bay Region CurrentSince Mar 8, 2009 Accepting new patients
McLaren Bay Region Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1900 Columbus Ave
#4
Bay City, MI 48708

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

669 E Cedar Ave
Gladwin, MI 48624
Phone (989) 709-5072

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Interoperability endpoints

  • Direct secure messaging: michael.bedell.1@11016.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601002415 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

3175 West Professional Drive
Bay City, MI 48706

Mailing address

3175 West Professional Drive
Bay City, MI 48706
Phone (989) 894-3278

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2012.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1508905977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 WEST PROFESSIONAL DRIVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-3278",
            "fax_number": "989-891-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 WEST PROFESSIONAL DRIVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-3278",
            "fax_number": "989-891-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.