Samantha Cloutier, DO
Individual provider Active NPI Family Medicine Physician · Clinton Township, MI
NPI 1871985606 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1871985606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101021908 (MI)
- Practice address
- 43421 Garfield Rd Ste 1
Clinton Township, MI 48038-1133 - Phone
- (586) 286-5500
- Fax
- (586) 286-0900
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Physician Partners
Practice addresses (Care Compare)
43421 Garfield Rd
Suite 1
Clinton TWP, MI 48038-1133
Phone (586) 286-5500
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Macomb Hospital
- Henry Ford Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180720000731 | MI | Practitioner - Family Practice | 6103139415 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates of Mt. Clemens, PC | Current | Accepting new patients | |
| Henry Ford Physician Partners | Current |
Accepting new patients | |
| Alliance Health Professionals, PLLC | Current |
Accepting new patients | |
| Henry Ford Macomb Ancillary Services | Current | Accepting new patients | |
| Henry Ford Physician Partners | Family Medicine | Current |
Accepting new patients |
Locations
2689 Solution Ctr
Chicago, IL 60677
43411 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 203-1260
43421 Garfield Rd
Ste 1
Clinton Twp, MI 48038
Phone (586) 286-5500
133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021908 | MI | Yes |
Addresses
Primary practice location
43421 Garfield Rd Ste 1
Clinton Township, MI 48038-1133
Mailing address
2689 Solution Center
Chicago, IL 60677-0001
Phone (586) 329-1880
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scloutier267935@direct.hfhs.org |
Other providers in Clinton Township, MI
- Clinton Township Chiropractic PC
- Clinton Township Dialysis LLC
- Clinton Urgent Care Walk-in Clinic
- James E Clinton
- Closer to the Heart LLC
- Stephen Roberts Cluff
- CMK Homecare
- Wanda Denise Coates Fountain
- Chester T Coccia
- Laura Cockerill
All providers in Clinton Township, 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 Dec 22, 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.
- Order and Referring (CMS).
- 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.