| Michael S Grossman, MD | |
|
Great Lakes Recovery Centers, Inc., 104 Malton Road, Negaunee, MI 49866 | |
| (906) 228-4692 | |
| (906) 228-2830 |
| Full Name | Michael S Grossman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | Great Lakes Recovery Centers, Inc., Negaunee, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265594758 | NPI | - | NPPES |
| 080119915 | Other | MI | RRMEDICARE |
| 103306416 | Medicaid | MI | |
| MG039616 | Other | MI | BCBS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301039616 (Michigan) | Primary |
| 174400000X | Specialist | 4301039616 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upper Peninsula Home Health & Hospice | Marquette, MI | Hospice |
| Bell Hospital | Ishpeming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Recovery Centers | 9133317936 | 4 |
| Entity Name | Great Lakes Recovery Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545141 PECOS PAC ID: 9133317936 Enrollment ID: O20101221000468 |
| Entity Name | Bell Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Grossman, MD 97 S 4th St Ste C, Ishpeming, MI 49849-2168 Ph: (906) 228-9699 | Michael S Grossman, MD Great Lakes Recovery Centers, Inc., 104 Malton Road, Negaunee, MI 49866 Ph: (906) 228-4692 |
Joel Ryan Dank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Us Highway 41, Negaunee, MI 49866 Phone: 906-475-6312 | |
Dr. Sandra K Mccowen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Malton Rd., Negaunee, MI 49866 Phone: 906-485-2153 |