Northern Michigan Sports Medicine Center is a medicare enrolled "Clinic/center - Physical Therapy" provider in Petoskey, Michigan. Their current practice location is
4048 Cedar Bluff Dr, Suite 2, Petoskey, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 347-9300.
Northern Michigan Sports Medicine Center is licensed to practice in Michigan (license number ) and it also participates in the medicare program. Northern Michigan Sports Medicine Center
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 1538123906.
Healthcare Provider's Profile
| Full Name | Northern Michigan Sports Medicine Center |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 4048 Cedar Bluff Dr, Petoskey, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538123906
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426127499
- Enrollment ID: O20080516000048
Medical Identifiers
Medical identifiers for Northern Michigan Sports Medicine Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538123906 | NPI | - | NPPES |
| 30617 | Other | MI | BLUE CROSS BLUE SHIELD |
| 900002332 | Other | MI | PRIORITY HEALTH |
| 135445900 | Other | MI | DEPARTMENT OF LABOR |
| 30617 | Other | MI | FEDERAL BCBS |
| 30617 | Other | MI | BLUE CARE NETWORK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 282NR1301X | General Acute Care Hospital - Rural | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (Michigan) | Primary |
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. Northern Michigan Sports Medicine Center 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 |
|---|
Northern Michigan Sports Medicine Center
4048 Cedar Bluff Dr, Suite 2,
Petoskey, MI 49770-8895
Ph: (231) 347-9300 | Northern Michigan Sports Medicine Center
4048 Cedar Bluff Dr, Suite 2,
Petoskey, MI 49770-8895
Ph: (231) 347-9300 |
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