Gaps Health Mi P.c. - Medicare Primary Care in Clawson, MI

Gaps Health Mi P.c. is a medicare enrolled primary clinic (General Practice) in Clawson, Michigan. The current practice location for Gaps Health Mi P.c. is 535 N Main St, Clawson, Michigan. For appointments, you can reach them via phone at (248) 435-5200. The mailing address for Gaps Health Mi P.c. is 5319 Betheny Cir, Superior Twp, Michigan and phone number is (682) 206-3118.

Gaps Health Mi P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154943017. 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 (248) 435-5200.

Contact Information

Gaps Health Mi P.c.
535 N Main St
Clawson
MI 48017-1526
(248) 435-5200
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameGaps Health Mi P.c.
SpecialityGeneral Practice
Location535 N Main St, Clawson, Michigan
Authorized Official Name and PositionJody Hunter (DIRECTOR OF OPERATIONS)
Authorized Official Contact7348120996
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gaps Health Mi P.c.
5319 Betheny Cir
Superior Twp
MI 48198-9653

Ph: (682) 206-3118
Gaps Health Mi P.c.
535 N Main St
Clawson
MI 48017-1526

Ph: (248) 435-5200

NPI Details:

NPI Number1154943017
Provider Enumeration Date05/14/2020
Last Update Date05/14/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6608297577
Medicare Enrollment IDO20200601001823

Medical Identifiers

Medical identifiers for Gaps Health Mi P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154943017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gaps Health Mi P.c. acts as a billing entity for following providers:
Provider NameJerome Wilborn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750351516
PECOS PAC ID: 2163412834
Enrollment ID: I20040913000586
Provider NameSonali Wilborn
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1164523247
PECOS PAC ID: 0446317358
Enrollment ID: I20090320000210
Provider NameLing Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396988416
PECOS PAC ID: 7214185826
Enrollment ID: I20120924000172
Provider NameJohn Weaver
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174547467
PECOS PAC ID: 0345292728
Enrollment ID: I20200708003245
Provider NameGloria Klimen
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1821048745
PECOS PAC ID: 8921314477
Enrollment ID: I20200728003478
Provider NameStephanie Freeman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497732135
PECOS PAC ID: 8729989918
Enrollment ID: I20200930003079
Provider NameUroje Mirza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013442292
PECOS PAC ID: 3274949276
Enrollment ID: I20221215002514

Reviews and Comments


General Practice in Clawson, MI

Shenandoah Clinic, P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 909 W Maple Rd, Suite 100, Clawson, MI 48017
Phone: 248-435-2028    Fax: 248-435-2099
Sase Persaud Md Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 314 N Main St, Clawson, MI 48017
Phone: 124-857-7060    Fax: 128-577-0601
Clawson Medical Center Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1224 W 14 Mile Rd, Clawson, MI 48017
Phone: 248-280-1600    Fax: 248-543-3007
North Woodward Internal Medicine Associates, P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 555 W 14 Mile Rd, Suite 100, Clawson, MI 48017
Phone: 248-655-1400    Fax: 248-655-2646
Clawson Internist Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 21 S Main St, Clawson, MI 48017
Phone: 248-588-4777    Fax: 248-588-1241
United Care Team I
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 909 W Maple Rd Ste 111, Clawson, MI 48017
Phone: 888-402-0202    Fax: 248-602-3431

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.