Eric Kreckman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9999999999 Issued in MI

Practice address

609 Quarter St
Gladwin, MI 48624-1941

Phone

(989) 246-6471

Fax

(989) 246-6423

NPI assigned

Nov 25, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Michigan Medical Corporation PCGroup PAC ID 5698073104, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: eric.kreckman@904922397147140.direct.elationemr.com

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.

• Mid Michigan Medical Corporation PC

  • Family Medicine Physician
  • Essexville, MI
  • NPI 1972965473
  Medicare reassignment Care Compare group
• Wound Care Zone PLLC

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1821899279
  Medicare reassignment Authorized official

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1538599733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6471",
            "fax_number": "989-246-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6471",
            "fax_number": "989-246-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECKMAN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "9999999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douk Kook
• Jerame Joseph Kopka
• Karlee Espen Koshorek
• Ushasri Subbarao Kotipalli, PHYSICAL THERAPIST
• Rebecca Kozlow
• Pheonix Lacoe Kreutzer-Bailey, PK
• Megan Lee Krueger
• Ronald J Kruske, DDS
• Kelly J Kubiak, LMSW
• Hayley May Lademann

• Physician Assistant in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.