Ent Care Of Michigan Plc is a medicare enrolled "Otolaryngology" provider in Waterford, Michigan. Their current practice location is
5220 Highland Rd Ste 230, Waterford, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 254-8900.
Ent Care Of Michigan Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ent Care Of Michigan Plc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114632932.
Healthcare Provider's Profile
| Full Name | Ent Care Of Michigan Plc |
|---|
| Type | Facility |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 5220 Highland Rd Ste 230, Waterford, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1114632932
- Provider Enumeration Date: 01/16/2023
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466827753
- Enrollment ID: O20230419002237
Medical Identifiers
Medical identifiers for Ent Care Of Michigan Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114632932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ent Care Of Michigan Plc acts as a billing entity for following providers:
| Provider Name | Kalee Easter |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1972160752
PECOS PAC ID: 3870827660
Enrollment ID: I20190627003119 |
|---|
| Provider Name | Eric F Succar |
|---|
| Provider Type | Practitioner - Otolaryngology |
|---|
| Provider Identifiers | NPI Number: 1124361621
PECOS PAC ID: 1456655299
Enrollment ID: I20190723000862 |
|---|
| Provider Name | Marwan Boulis |
|---|
| Provider Type | Practitioner - Otolaryngology |
|---|
| Provider Identifiers | NPI Number: 1861981763
PECOS PAC ID: 4880945328
Enrollment ID: I20230520000306 |
|---|
| Provider Name | Lori Martin |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1689366122
PECOS PAC ID: 2961865126
Enrollment ID: I20230906000800 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ent Care Of Michigan Plc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ent Care Of Michigan Plc
5220 Highland Rd Ste 230,
Waterford, MI 48327-1973
Ph: (248) 254-8900 | Ent Care Of Michigan Plc
5220 Highland Rd Ste 230,
Waterford, MI 48327-1973
Ph: (248) 254-8900 |
Reviews and Comments