Capital Internal Medicine Associates P.c. - Medicare Primary Care in Lansing, MI

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Capital Internal Medicine Associates P.c. is a medicare enrolled primary clinic (Internal Medicine) in Lansing, Michigan. The current practice location for Capital Internal Medicine Associates P.c. is 3955 Patient Care Way, Suite A, Lansing, Michigan. For appointments, you can reach them via phone at (517) 374-7600. The mailing address for Capital Internal Medicine Associates P.c. is 3955 Patient Care Way, Suite A, Lansing, Michigan and phone number is (517) 374-7600.

Capital Internal Medicine Associates P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780629832. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (517) 374-7600.

Contact Information

Capital Internal Medicine Associates P.c.
3955 Patient Care Way
Suite A
Lansing
MI 48911-4299
(517) 374-7600
(517) 374-9042

Map and Direction


Primary Care Clinic Profile

Full NameCapital Internal Medicine Associates P.c.
SpecialityInternal Medicine
Location3955 Patient Care Way, Lansing, Michigan
Authorized Official Name and PositionMichael Casmir Kowalczyk (PRESIDENT)
Authorized Official Contact5173747600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Capital Internal Medicine Associates P.c.
3955 Patient Care Way
Suite A
Lansing
MI 48911-4299

Ph: (517) 374-7600		Capital Internal Medicine Associates P.c.
3955 Patient Care Way
Suite A
Lansing
MI 48911-4299

Ph: (517) 374-7600

NPI Details:

NPI Number1780629832
Provider Enumeration Date06/20/2006
Last Update Date04/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8022097963
Medicare Enrollment IDO20040715000369

Medical Identifiers

Medical identifiers for Capital Internal Medicine Associates P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780629832NPI-NPPES
0C36084OtherMIBCBS PIN 0C36084

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207VG0400XObstetrics & Gynecology - Gynecology (* (Not Available))Secondary
207VX0000XObstetrics & Gynecology - Obstetrics (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2085N0904XRadiology - Nuclear Radiology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
2085U0001XRadiology - Diagnostic Ultrasound (* (Not Available))Secondary
208600000XSurgery (* (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. Capital Internal Medicine Associates P.c. acts as a billing entity for following providers:
Provider NameSherrie Marie Brooks
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720060858
PECOS PAC ID: 1355247362
Enrollment ID: I20031210000701
Provider NameEric A Lewandowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750362216
PECOS PAC ID: 3072408467
Enrollment ID: I20040216000775
Provider NameIngrid M Stines
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1821182023
PECOS PAC ID: 9133015167
Enrollment ID: I20040302000828
Provider NameDouglas R Vanderjagt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730121880
PECOS PAC ID: 7810809555
Enrollment ID: I20040406001309
Provider NameMary A Werkman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073511028
PECOS PAC ID: 2264418953
Enrollment ID: I20040624001203
Provider NameMichael C Kowalczyk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649277211
PECOS PAC ID: 0244219194
Enrollment ID: I20040722001237
Provider NameMark W Schaar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932180148
PECOS PAC ID: 3274508536
Enrollment ID: I20040831000028
Provider NameAndrew J Stasevich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043297955
PECOS PAC ID: 9638124548
Enrollment ID: I20050314000768
Provider NameErik D Wert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881692739
PECOS PAC ID: 8224085816
Enrollment ID: I20050406000081
Provider NameRobert J Seiler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831159847
PECOS PAC ID: 5496750689
Enrollment ID: I20060921000396
Provider NameAbdalla M Abdalla Ali
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134101074
PECOS PAC ID: 7810994811
Enrollment ID: I20061106000299
Provider NameChris R Farnum
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1770581621
PECOS PAC ID: 5496855884
Enrollment ID: I20070713000792
Provider NameLinda Fisher-williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346429305
PECOS PAC ID: 4981791118
Enrollment ID: I20071103000129
Provider NameJoseph S Kozlowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366420432
PECOS PAC ID: 5395826911
Enrollment ID: I20080121000233
Provider NameBarbara L Merrill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841244548
PECOS PAC ID: 4284705955
Enrollment ID: I20080624000472
Provider NameKelly L Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629198478
PECOS PAC ID: 6103991930
Enrollment ID: I20080813000655
Provider NameStacey S Tremp
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427271097
PECOS PAC ID: 8527133073
Enrollment ID: I20080818000365
Provider NameJustin S Kisaka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912128539
PECOS PAC ID: 7113092578
Enrollment ID: I20080819000754
Provider NameAnthony J Meier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134236268
PECOS PAC ID: 2961578711
Enrollment ID: I20080903000116
Provider NameCheryl G Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023022886
PECOS PAC ID: 8022178318
Enrollment ID: I20081117000344
Provider NameJerrold M Weiss
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588740690
PECOS PAC ID: 1951396019
Enrollment ID: I20090224000537
Provider NameAaron Michael Bohrer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548472079
PECOS PAC ID: 3173675444
Enrollment ID: I20090716000709
Provider NameArthur J Ronan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346283074
PECOS PAC ID: 7719039627
Enrollment ID: I20090723000076
Provider NameJonathan S Cooper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497723522
PECOS PAC ID: 7416099106
Enrollment ID: I20100119000199
Provider NameKip Louis Kaercher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528036035
PECOS PAC ID: 2365583218
Enrollment ID: I20100122000264
Provider NameAmit Ghose
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639177686
PECOS PAC ID: 0345382313
Enrollment ID: I20100129000036
Provider NameBarbara Fretwell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578561429
PECOS PAC ID: 9830232800
Enrollment ID: I20100130000276
Provider NameMichael J James
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1609874478
PECOS PAC ID: 6103738828
Enrollment ID: I20100608000675
Provider NameSherman Gorbis
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1033148804
PECOS PAC ID: 0143351908
Enrollment ID: I20100623000689
Provider NameHitesh M Bhatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477716579
PECOS PAC ID: 4688844483
Enrollment ID: I20110906000366
Provider NameChristopher John Alvarado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073772968
PECOS PAC ID: 9739354473
Enrollment ID: I20111208000504
Provider NameThomas K Jamieson
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1538220561
PECOS PAC ID: 4385892033
Enrollment ID: I20120921000168
Provider NameMichael T Mangan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144457805
PECOS PAC ID: 2062662760
Enrollment ID: I20121015000310
Provider NameJacqueline Carinne Mirate
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316172992
PECOS PAC ID: 9739323221
Enrollment ID: I20130924000380
Provider NameSarah J Denham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275832784
PECOS PAC ID: 3870711880
Enrollment ID: I20140903001845
Provider NameFrancesca Marie Buskulic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023383668
PECOS PAC ID: 4688989080
Enrollment ID: I20150813011791
Provider NameWaleed A Obaid
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1003187295
PECOS PAC ID: 3173830650
Enrollment ID: I20150916000400
Provider NameJenna Marie Oesterle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871974295
PECOS PAC ID: 3072820422
Enrollment ID: I20150916003060
Provider NameJennifer Lynn Araoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720452253
PECOS PAC ID: 3274834213
Enrollment ID: I20151217000777
Provider NameKristal Shontae Richardson-aubrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114470036
PECOS PAC ID: 6002102936
Enrollment ID: I20160901001060
Provider NameMeghan K Muladore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225443674
PECOS PAC ID: 1658667316
Enrollment ID: I20160906001460
Provider NameTimothy Michael Jordan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770824948
PECOS PAC ID: 6901189570
Enrollment ID: I20170206000110
Provider NameAmanda Rose George Trierweiler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508301383
PECOS PAC ID: 4183907249
Enrollment ID: I20170215001644
Provider NameErin Maree Warriner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174068050
PECOS PAC ID: 9335422492
Enrollment ID: I20170215001755
Provider NameRobert Russell Hillman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578837332
PECOS PAC ID: 3476836545
Enrollment ID: I20170215001999
Provider NameMatthew Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144649690
PECOS PAC ID: 6406126788
Enrollment ID: I20170719001593
Provider NameJacqueline Frances Witters
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144561317
PECOS PAC ID: 2860763141
Enrollment ID: I20170804000582
Provider NameAtanas T Iliev
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1942612858
PECOS PAC ID: 6507122850
Enrollment ID: I20171102002045
Provider NameMelinda Vandyke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952820235
PECOS PAC ID: 8820354319
Enrollment ID: I20171116001804
Provider NameJoanne E Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861900391
PECOS PAC ID: 6507126976
Enrollment ID: I20180202000574
Provider NameNicole M Soos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497115133
PECOS PAC ID: 1355602541
Enrollment ID: I20180305000823
Provider NameShelly R Vliet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992292353
PECOS PAC ID: 8820348394
Enrollment ID: I20180904001491
Provider NameFelix Alberto Chalu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730686916
PECOS PAC ID: 6103170352
Enrollment ID: I20181107001106
Provider NameAlexis M Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538634175
PECOS PAC ID: 7113261983
Enrollment ID: I20181205001080
Provider NameKatarina Anne Leclair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811462450
PECOS PAC ID: 9638413412
Enrollment ID: I20181205001248
Provider NameMalcolm Doyle
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679566053
PECOS PAC ID: 7810012283
Enrollment ID: I20190129000899
Provider NameBasil Dahbur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922410513
PECOS PAC ID: 9133460652
Enrollment ID: I20190410002597
Provider NameRichard James Sharon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649625708
PECOS PAC ID: 9537402573
Enrollment ID: I20190515001689
Provider NameJoanne Castillo Rivera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821319443
PECOS PAC ID: 8325286545
Enrollment ID: I20190619003524
Provider NameEmily Ann Henning
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205229176
PECOS PAC ID: 0042547317
Enrollment ID: I20190808002767
Provider NameJennifer Michelle Wollack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265880140
PECOS PAC ID: 9032446190
Enrollment ID: I20190812003615
Provider NameWhitney Hounshell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366648842
PECOS PAC ID: 7315105681
Enrollment ID: I20190814003510
Provider NameMuhammad Danish Saleem
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710338843
PECOS PAC ID: 1456648195
Enrollment ID: I20190911003681
Provider NameMark David Kidwell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366892150
PECOS PAC ID: 7315278116
Enrollment ID: I20191009001251
Provider NameKaitlyn Rose Kowalczyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255973236
PECOS PAC ID: 2062744634
Enrollment ID: I20191031000854
Provider NamePa-nhia Yang-murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700422904
PECOS PAC ID: 1456787522
Enrollment ID: I20200208000208
Provider NameZulfiqar Qutrio Baloch
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982085106
PECOS PAC ID: 7911288832
Enrollment ID: I20200221000438
Provider NameKelby Arden Hempel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942748827
PECOS PAC ID: 2860813201
Enrollment ID: I20200610002786
Provider NameSteven Do
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447611124
PECOS PAC ID: 8921306168
Enrollment ID: I20200619000189
Provider NameMohamed Salim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851821383
PECOS PAC ID: 6507137767
Enrollment ID: I20200715002073
Provider NameGarrett Descoteaux-friday
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922539717
PECOS PAC ID: 9234554700
Enrollment ID: I20200730002103
Provider NameErika Isela Hurt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912529751
PECOS PAC ID: 5395161699
Enrollment ID: I20200818000535
Provider NameAdam Matthew Farnum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871175638
PECOS PAC ID: 1254740400
Enrollment ID: I20210429001989
Provider NameJacob R Compton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942794458
PECOS PAC ID: 6406102623
Enrollment ID: I20210514001042
Provider NameMackenzie Bruce Dickinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003301557
PECOS PAC ID: 7214284876
Enrollment ID: I20210712000113
Provider NameGustavo F Tataje Rengifo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033601489
PECOS PAC ID: 8921401001
Enrollment ID: I20210727002539
Provider NameBenjamin Edward Park-may
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740951649
PECOS PAC ID: 0042617342
Enrollment ID: I20210929003113
Provider NameHeather Loznak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407511959
PECOS PAC ID: 8820489727
Enrollment ID: I20220104001726
Provider NameGisela Ocasio Quinones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821583204
PECOS PAC ID: 7012266109
Enrollment ID: I20220120000960
Provider NameGeorge Ghareeb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497240964
PECOS PAC ID: 0749539831
Enrollment ID: I20220425000600
Provider NameCattleya Nery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841919057
PECOS PAC ID: 1951786532
Enrollment ID: I20220919000271
Provider NameEric Thong Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306482948
PECOS PAC ID: 5092148833
Enrollment ID: I20221128002837
Provider NameDominique Phelps
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1649983990
PECOS PAC ID: 7416328885
Enrollment ID: I20230123000299
Provider NameSpandana Narvaneni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588229876
PECOS PAC ID: 9436538121
Enrollment ID: I20230124002594
Provider NameSolange Beatrice Ngantchui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588303085
PECOS PAC ID: 3173994373
Enrollment ID: I20230126001792
Provider NameKilian Russell Lafreniere
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295220663
PECOS PAC ID: 1153670245
Enrollment ID: I20230217002658
Provider NameJennifer Azelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124583158
PECOS PAC ID: 9931441755
Enrollment ID: I20230315002684
Provider NameRebecca D Doede
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972733475
PECOS PAC ID: 3577795491
Enrollment ID: I20230412002590
Provider NameDemetria Mcduffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508550872
PECOS PAC ID: 7719346295
Enrollment ID: I20230630000710
Provider NameMolly Marie Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972172054
PECOS PAC ID: 3072977768
Enrollment ID: I20230913004088
Provider NameMelanie Odeleye
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1184988255
PECOS PAC ID: 0244474633
Enrollment ID: I20231002002678
Provider NameVarun George
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841815040
PECOS PAC ID: 4587087606
Enrollment ID: I20231214003511
Provider NameMaxwell Akanbi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457977613
PECOS PAC ID: 8224451737
Enrollment ID: I20231218000331
Provider NameDerek Schultz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609300573
PECOS PAC ID: 7517346216
Enrollment ID: I20231229002666
Provider NameWilliam H Burke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952925133
PECOS PAC ID: 4981027299
Enrollment ID: I20240118003316
Provider NameNayyer Islam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750361697
PECOS PAC ID: 5294790200
Enrollment ID: I20240508002651
Provider NameAnthony Adelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427013796
PECOS PAC ID: 5193787588
Enrollment ID: I20240508003245
Provider NameMatthew D Dobbs
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497935837
PECOS PAC ID: 7719094168
Enrollment ID: I20240613002729
Provider NameDavid O'connor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801860655
PECOS PAC ID: 5193700060
Enrollment ID: I20240712000106
Provider NameDaniel Maccourtney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104405042
PECOS PAC ID: 7416359930
Enrollment ID: I20240722002524
Provider NameAnnelise Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225871148
PECOS PAC ID: 2062958317
Enrollment ID: I20240723000595
Provider NameLuboslav Woroch
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912266974
PECOS PAC ID: 9931324969
Enrollment ID: I20240723004016
Provider NameShweta Bhatnagar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366023830
PECOS PAC ID: 7315348844
Enrollment ID: I20240809000188
Provider NameSarah Elaine Corgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962157586
PECOS PAC ID: 0648710020
Enrollment ID: I20240912000380
Provider NameLakshmi Kode Sammarco
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801883913
PECOS PAC ID: 7012906894
Enrollment ID: I20241010001401
Provider NameZachary Hanafi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578145819
PECOS PAC ID: 2062956675
Enrollment ID: I20250306003361
Provider NameLee Jordan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205240439
PECOS PAC ID: 8224330642
Enrollment ID: I20250509000377

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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.