Portage Physician Practices Inc - Medicare in Hancock, MI

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Portage Physician Practices Inc is a medicare enrolled "Internal Medicine" provider in Hancock, Michigan. Their current practice location is 500 Campus Dr, Ste. 5, Hancock, Michigan. You can reach out to their office (for appointments etc.) via phone at (906) 483-1700.

Portage Physician Practices Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Portage Physician Practices Inc 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 1225461684.

Contact Information

Portage Physician Practices Inc
500 Campus Dr, Ste. 5,
Hancock, MI 49930-1569
(906) 483-1700
(906) 483-1270

Map and Direction




Healthcare Provider's Profile

Full NamePortage Physician Practices Inc
TypeFacility
SpecialityInternal Medicine
Location500 Campus Dr, Hancock, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225461684
  • Provider Enumeration Date: 08/20/2013
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103053509
  • Enrollment ID: O20131210001058

Medical Identifiers

Medical identifiers for Portage Physician Practices Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225461684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
231H00000XAudiologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Portage Physician Practices Inc acts as a billing entity for following providers:
Provider NameDennis C Whitehead
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659358547
PECOS PAC ID: 7113914052
Enrollment ID: I20040430000516
Provider NameMartha A Frankowski
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003887290
PECOS PAC ID: 9133110885
Enrollment ID: I20040520001256
Provider NameRobert E Meehan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255379988
PECOS PAC ID: 0941283725
Enrollment ID: I20040611000659
Provider NameHassan Massouh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083723969
PECOS PAC ID: 6305815820
Enrollment ID: I20040930000527
Provider NameChristian M Dinsmore
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346232220
PECOS PAC ID: 7911966270
Enrollment ID: I20041004000776
Provider NameJulie A Meyer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265476360
PECOS PAC ID: 2769441179
Enrollment ID: I20041008001477
Provider NameAaron P Scholnik
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1487648028
PECOS PAC ID: 0345203204
Enrollment ID: I20041111000053
Provider NameDouglas M Iddings
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023233384
PECOS PAC ID: 4587621586
Enrollment ID: I20041210000820
Provider NameHarold Cline
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467421222
PECOS PAC ID: 8628026234
Enrollment ID: I20050111000343
Provider NameKhristine C Botezan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912954652
PECOS PAC ID: 7810949773
Enrollment ID: I20050218000492
Provider NameClarence C Rayos
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003867136
PECOS PAC ID: 3577516269
Enrollment ID: I20050222000780
Provider NameJurgen Runschke
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1134166473
PECOS PAC ID: 0840246039
Enrollment ID: I20050330001167
Provider NameJoseph P Farrell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285690255
PECOS PAC ID: 8820083538
Enrollment ID: I20050504001197
Provider NameDavid J Woltmann
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1548283567
PECOS PAC ID: 3274427935
Enrollment ID: I20050511000415
Provider NameDonald M Knapke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366432569
PECOS PAC ID: 3274595913
Enrollment ID: I20050801000205
Provider NameMichael Conrad Salmi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043360431
PECOS PAC ID: 2163452376
Enrollment ID: I20050817000789
Provider NameThomas M Mcconnon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811919251
PECOS PAC ID: 7214821115
Enrollment ID: I20051101000068
Provider NamePaul Anthony Lyle
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427131093
PECOS PAC ID: 2264456391
Enrollment ID: I20060118000150
Provider NameValerie Jean Savina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255387346
PECOS PAC ID: 3779599188
Enrollment ID: I20060222000490
Provider NamePetio V Kotov
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1790731651
PECOS PAC ID: 2264443407
Enrollment ID: I20060601000009
Provider NameSteven J Verbridge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093764706
PECOS PAC ID: 9830102185
Enrollment ID: I20060803000210
Provider NameDanny E Yarger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265478937
PECOS PAC ID: 8729019666
Enrollment ID: I20060811000037
Provider NameChristopher Manfred Rancont
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467554949
PECOS PAC ID: 2264438084
Enrollment ID: I20061018000124
Provider NameDonna L Defilippo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073626701
PECOS PAC ID: 6002918232
Enrollment ID: I20070219000559
Provider NameCraig W Holland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528002243
PECOS PAC ID: 1456344647
Enrollment ID: I20070723000588
Provider NameTheresa M Holladay
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053343608
PECOS PAC ID: 6800987991
Enrollment ID: I20070803000056
Provider NameLori E Vaughan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164546289
PECOS PAC ID: 7012002157
Enrollment ID: I20071003000833
Provider NameDavid A Renken
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639110380
PECOS PAC ID: 3375628662
Enrollment ID: I20080311000503
Provider NameRobert M Doane
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578555751
PECOS PAC ID: 8921184656
Enrollment ID: I20080320000678
Provider NameKurt Piatkowski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558335299
PECOS PAC ID: 9638107188
Enrollment ID: I20080409000531
Provider NameMark Aidan Kelley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1851303978
PECOS PAC ID: 3173512423
Enrollment ID: I20080516000458
Provider NameMary C Haller
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1487607230
PECOS PAC ID: 7517032113
Enrollment ID: I20080815000586
Provider NameJohn D Weiss
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1801963152
PECOS PAC ID: 0345256103
Enrollment ID: I20081213000033
Provider NameKeith E Wright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508836719
PECOS PAC ID: 3779630561
Enrollment ID: I20090414000364
Provider NameKhurshaid Alam
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1588871826
PECOS PAC ID: 0345398277
Enrollment ID: I20090504000443
Provider NameWilliam Wade
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386660173
PECOS PAC ID: 2163482738
Enrollment ID: I20090724000016
Provider NameLisa K Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831102045
PECOS PAC ID: 5890773345
Enrollment ID: I20090817000276
Provider NameTerry E Kinzel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023048477
PECOS PAC ID: 9931245230
Enrollment ID: I20090929000653
Provider NameAllison L Helman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093761983
PECOS PAC ID: 3072655604
Enrollment ID: I20100120000778
Provider NameAudrey A Liston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346354461
PECOS PAC ID: 8426190562
Enrollment ID: I20100127000627
Provider NameMarybeth Hines
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497704480
PECOS PAC ID: 8820174998
Enrollment ID: I20100130000092
Provider NameDawn Alyssa Nulf
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477566636
PECOS PAC ID: 0143363192
Enrollment ID: I20100130000108
Provider NameTimothy T Sears
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063450526
PECOS PAC ID: 3971641333
Enrollment ID: I20100304000071
Provider NameCynthia J Blake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861463994
PECOS PAC ID: 5294805271
Enrollment ID: I20100315000552
Provider NameWilliam W Liston
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265481204
PECOS PAC ID: 2961539226
Enrollment ID: I20100420000064
Provider NameRonald Voice
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1174521975
PECOS PAC ID: 8628059979
Enrollment ID: I20100524000649
Provider NameMartin H Matthews
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1659448801
PECOS PAC ID: 8527074384
Enrollment ID: I20100603000006
Provider NameAndre Z Oulai
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174657910
PECOS PAC ID: 5395841399
Enrollment ID: I20101028001482
Provider NameWilliam Douglas Tressel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174785505
PECOS PAC ID: 7113106584
Enrollment ID: I20110201000433
Provider NameKirk R Klemme
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1609836139
PECOS PAC ID: 7416943501
Enrollment ID: I20110311000097
Provider NameBruce Lee Whitaker
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1790923969
PECOS PAC ID: 0446437131
Enrollment ID: I20110606000706
Provider NameDilnaz D Panjwani
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689830424
PECOS PAC ID: 8921285321
Enrollment ID: I20110613000522
Provider NameAbdul Khokhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225284854
PECOS PAC ID: 6103095278
Enrollment ID: I20110805000336
Provider NameJennifer K Bow
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568654663
PECOS PAC ID: 0749459725
Enrollment ID: I20110808000800
Provider NameJustin J Hollander
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1053538868
PECOS PAC ID: 0042489734
Enrollment ID: I20110815000573
Provider NameChristopher W Peer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669402137
PECOS PAC ID: 2567465990
Enrollment ID: I20111115000693
Provider NameAmy Martyanov
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1922270768
PECOS PAC ID: 3173681459
Enrollment ID: I20120319000074
Provider NameJonathan N Brueggeman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1790836401
PECOS PAC ID: 7719045566
Enrollment ID: I20120430000711
Provider NameAaron R Wood
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1316197833
PECOS PAC ID: 1456516905
Enrollment ID: I20120706000345
Provider NameJohn K Lightfoot
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740348127
PECOS PAC ID: 0547291502
Enrollment ID: I20121020000036
Provider NameShanaaz Shameen Mohammed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245426626
PECOS PAC ID: 9032362660
Enrollment ID: I20130110000394
Provider NameLloyd G Geddes
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730193046
PECOS PAC ID: 2961411186
Enrollment ID: I20130322000173
Provider NameRebecca E Pflughoeft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174859342
PECOS PAC ID: 4981849601
Enrollment ID: I20130401000222
Provider NameHenry Barcino
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1396955670
PECOS PAC ID: 3072612514
Enrollment ID: I20130720000118
Provider NameTimothy John Labonte
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154617603
PECOS PAC ID: 4688816853
Enrollment ID: I20130819000171
Provider NameKatriina M Hopper
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1962679811
PECOS PAC ID: 6800020330
Enrollment ID: I20131016000261
Provider NameVilray P Blair
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982605267
PECOS PAC ID: 6002839263
Enrollment ID: I20140130001079
Provider NameSean P Mcbride
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417097767
PECOS PAC ID: 6406093277
Enrollment ID: I20140306001864
Provider NameDarrell Jack Potter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265412605
PECOS PAC ID: 9739078478
Enrollment ID: I20140312001954
Provider NameWilliam Hanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659543643
PECOS PAC ID: 3274602073
Enrollment ID: I20140318001941
Provider NameBruce Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386049211
PECOS PAC ID: 5698099083
Enrollment ID: I20150113000063
Provider NameTara A Robinette
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962796383
PECOS PAC ID: 3971756834
Enrollment ID: I20150622002499
Provider NameHans J Wolslau
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588825301
PECOS PAC ID: 0345303590
Enrollment ID: I20150724010450
Provider NameChelsea C Honstain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245612720
PECOS PAC ID: 7517271943
Enrollment ID: I20150729009973
Provider NameMichael D Carter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245207919
PECOS PAC ID: 0446239990
Enrollment ID: I20150923001380
Provider NameMark Willis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326137514
PECOS PAC ID: 0042287013
Enrollment ID: I20150923001730
Provider NameDeborah R Lorenz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477926889
PECOS PAC ID: 3375853963
Enrollment ID: I20151111001284
Provider NameJames M Glenn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336143320
PECOS PAC ID: 8628151727
Enrollment ID: I20151229001908
Provider NameTimothy M Mahon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194012807
PECOS PAC ID: 2365664729
Enrollment ID: I20160302002078
Provider NameStephen D Lipson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1750489670
PECOS PAC ID: 8729055017
Enrollment ID: I20160315001509
Provider NameDavid Pierce
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073593802
PECOS PAC ID: 5698676443
Enrollment ID: I20160512002205
Provider NameSean D Hendren
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871939686
PECOS PAC ID: 1052637246
Enrollment ID: I20160719001720
Provider NameJamie S Johnson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861577355
PECOS PAC ID: 3779721899
Enrollment ID: I20160919000195
Provider NameRonald A Ronquist
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255340063
PECOS PAC ID: 9931399037
Enrollment ID: I20160929002510
Provider NameWael Khouli
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1639131394
PECOS PAC ID: 5698738706
Enrollment ID: I20161004000216
Provider NameChadwick Burden Hampton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659410728
PECOS PAC ID: 8729371802
Enrollment ID: I20161107001698
Provider NameMeghan M Shoup
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1659816981
PECOS PAC ID: 3678856325
Enrollment ID: I20170203001498
Provider NameDavid Walter Koski
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1992746556
PECOS PAC ID: 0042341919
Enrollment ID: I20170203001532
Provider NameAnthony L Umoh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891190492
PECOS PAC ID: 1759699960
Enrollment ID: I20170322001370
Provider NameGary Joel Rosenberg
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619275203
PECOS PAC ID: 9537437504
Enrollment ID: I20170615000560
Provider NameEmily Sue Johnson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205256286
PECOS PAC ID: 3274814272
Enrollment ID: I20170615000693
Provider NameJames Orlando
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619388592
PECOS PAC ID: 2961722178
Enrollment ID: I20170907000166
Provider NameRyan B Breland
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477725455
PECOS PAC ID: 8123248697
Enrollment ID: I20170908002198
Provider NameNaseem Neon Beauchman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497983498
PECOS PAC ID: 1850692682
Enrollment ID: I20171214001629
Provider NameCarlos Moreyra
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1790854594
PECOS PAC ID: 7810178712
Enrollment ID: I20180205000856
Provider NameMark D Hopkins
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366432296
PECOS PAC ID: 5799746707
Enrollment ID: I20180620002330
Provider NameNicholas Frame
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104230341
PECOS PAC ID: 1254551468
Enrollment ID: I20181212002259
Provider NameJessie Salo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700354149
PECOS PAC ID: 6103167242
Enrollment ID: I20190417002957
Provider NameJenny M Bausano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003475344
PECOS PAC ID: 9335479211
Enrollment ID: I20190918002850
Provider NameKevin Michael Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952961567
PECOS PAC ID: 6002148772
Enrollment ID: I20191029003560
Provider NameAndrea Kay Bouman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447612577
PECOS PAC ID: 1658663836
Enrollment ID: I20191118003022
Provider NameMelissa S Meier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376182931
PECOS PAC ID: 9830527134
Enrollment ID: I20200320000479
Provider NameHeather Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114567385
PECOS PAC ID: 9537590237
Enrollment ID: I20200513001900
Provider NameLaura Breu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942749833
PECOS PAC ID: 0143504118
Enrollment ID: I20210105001728
Provider NameJennifer A Tarvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336743582
PECOS PAC ID: 5799191086
Enrollment ID: I20210311001160
Provider NameBrooke Esteves
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1265726970
PECOS PAC ID: 5193951192
Enrollment ID: I20210405000484
Provider NameRachel E Wilson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508353178
PECOS PAC ID: 4789939372
Enrollment ID: I20210615001170
Provider NameCharles B Goodwin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831576529
PECOS PAC ID: 5092097725
Enrollment ID: I20210811002630
Provider NameKaitlin M Plager
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972004315
PECOS PAC ID: 2062760374
Enrollment ID: I20210830002003
Provider NameDavid D Beversluis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326363789
PECOS PAC ID: 3476710252
Enrollment ID: I20211230000121
Provider NameKurt Schmidt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356700090
PECOS PAC ID: 9830485028
Enrollment ID: I20220104000135
Provider NameMichael Joseph Rushton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649832668
PECOS PAC ID: 9234468588
Enrollment ID: I20220110001209
Provider NameHeidi Annette Sutcliffe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710648951
PECOS PAC ID: 4688068083
Enrollment ID: I20220301001404
Provider NameDouglas Gary Sutcliffe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205406063
PECOS PAC ID: 7911392139
Enrollment ID: I20220324001463
Provider NameMelissa Marie Hoffmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306506050
PECOS PAC ID: 3476947169
Enrollment ID: I20220331002165
Provider NameHnin Lwin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528547932
PECOS PAC ID: 5890038285
Enrollment ID: I20220526002802
Provider NameStephen R Davenport
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174619720
PECOS PAC ID: 7719913367
Enrollment ID: I20221017002964
Provider NameLinda R Belhorn
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1043201692
PECOS PAC ID: 7719028000
Enrollment ID: I20221205001370
Provider NameChristine Matijasic
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1164485868
PECOS PAC ID: 4486668464
Enrollment ID: I20230110000566
Provider NameMariam Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912469511
PECOS PAC ID: 3971974643
Enrollment ID: I20230118000267
Provider NameJohn Kalasky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962829119
PECOS PAC ID: 8527289594
Enrollment ID: I20230303001531
Provider NameMichael Sand
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1932552148
PECOS PAC ID: 6103110820
Enrollment ID: I20230523001717
Provider NameToni M Clisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154019750
PECOS PAC ID: 6709242407
Enrollment ID: I20230523001865
Provider NameHassan Massouh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083723969
PECOS PAC ID: 6305815820
Enrollment ID: I20230530002644
Provider NameDanny Mangual-perez
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366845372
PECOS PAC ID: 1456734342
Enrollment ID: I20230607001278

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. Portage Physician Practices Inc 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 AddressPractice Location Address
Portage Physician Practices Inc
500 Campus Dr, Ste. 5,
Hancock, MI 49930-1569

Ph: (906) 483-1700		Portage Physician Practices Inc
500 Campus Dr, Ste. 5,
Hancock, MI 49930-1569

Ph: (906) 483-1700

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.