Compassionate Primary Care Services PLC
Organization Active NPI Family Medicine Physician · Otsego, MI
NPI 1821802133 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1821802133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COMPASSIONATE PRIMARY CARE SERVICES PLC
- Practice address
- 344 W Allegan St
Otsego, MI 49078-1086 - Phone
- (269) 993-1362
- NPI assigned
- Feb 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Cailyn D'Haem
- Title
- Medical Director
- Phone
- (517) 525-7326
Practitioners 2
-
Cailyn D'Haem, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250411000497 | MI | Part B Supplier - Clinic/Group Practice | 9335663392 |
Receives reassigned benefits from 1 practitioner Practice locations: Otsego, MI |
National Provider Directory
Locations
344 W Allegan St
Ste A
Otsego, MI 49078
Phone (269) 993-1362
344 W Allegan St
Otsego, MI 49078
Phone (269) 201-4174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
344 W Allegan St
Otsego, MI 49078-1086
Mailing address
2206 N Westnedge Ave
Kalamazoo, MI 49007-1790
Phone (269) 993-1362
Other providers in Otsego, MI
- Micala Carman
- Madison Cecilia Carr
- Janet Cencer
- Sarah Chachulski
- Kiersten-Mary Sherman Chalker
- Comprehensive Psychological and Assessment Services LLC
- Conscious Connections Southwest Michigan LLC
- Nicole Constante
- Mollie Cramner
- Hannah M Dale
All providers in Otsego, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. 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.