| Cass River Health Plaza Pllc | |
| 
					6940 Dixie Hwy Bridgeport MI 48722-9760  | |
| (989) 746-0933 | |
| (989) 746-5070 | 
| Full Name | Cass River Health Plaza Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 6940 Dixie Hwy, Bridgeport, Michigan | 
| Authorized Official Name and Position | Naveed Mahfooz (OWNER) | 
| Authorized Official Contact | 9897460933 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cass River Health Plaza Pllc 6940 Dixie Hwy Bridgeport MI 48722-9760 Ph: (989) 746-0933  | Cass River Health Plaza Pllc 6940 Dixie Hwy Bridgeport MI 48722-9760 Ph: (989) 746-0933  | 
| NPI Number | 1356600431 | 
|---|---|
| Provider Enumeration Date | 05/10/2012 | 
| Last Update Date | 05/10/2012 | 
| Medicare PECOS PAC ID | 0042466484 | 
|---|---|
| Medicare Enrollment ID | O20120817000277 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356600431 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301059644 (Michigan) | Primary | 
| Provider Name | Naveed Mahfooz | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749  | 
| Provider Name | Stephen James Mattichak | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1013930189 PECOS PAC ID: 5698779759 Enrollment ID: I20060831000427  | 
| Provider Name | Lubna Ahsan | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1467448134 PECOS PAC ID: 3072600386 Enrollment ID: I20071102000705  | 
| Provider Name | Ameed Abdulrazzak | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533  | 
| Provider Name | Nilufa Akhter | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1962794628 PECOS PAC ID: 5294953964 Enrollment ID: I20140822000659  | 
| Provider Name | Majid Aized | 
|---|---|
| Provider Type | Practitioner - Thoracic Surgery | 
| Provider Identifiers | NPI Number: 1407166432 PECOS PAC ID: 9537416425 Enrollment ID: I20180724001646  | 
| Provider Name | Lori Jane Jones | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760946495 PECOS PAC ID: 6507104320 Enrollment ID: I20190220001731  | 
| Provider Name | Rabeea Mirza | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026  | 
| Provider Name | Zakia Sultana | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1629419353 PECOS PAC ID: 5496035826 Enrollment ID: I20220119000927  | 
| Provider Name | Syed Umer Mohsin | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1366954406 PECOS PAC ID: 9133486392 Enrollment ID: I20230411002635  | 
| Provider Name | Diyan M Raza | 
|---|---|
| Provider Type | Practitioner - Interventional Pain Management | 
| Provider Identifiers | NPI Number: 1588227946 PECOS PAC ID: 5597098913 Enrollment ID: I20250203001553  | 
Great Lakes Bay Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4691 Bearcat Blvd, Bridgeport, MI 48722 Phone: 989-777-0440  | |
Great Lakes Bay Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6297 Dixie Highway, Bridgeport, MI 48722 Phone: 989-759-6460 Fax: 989-759-6465  | |
Great Lakes Bay Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6297 Dixie Highway, Bridgeport, MI 48722 Phone: 989-821-5390 Fax: 989-921-5389  |