Great Lakes Gastroenterology Pllc - Medicare Primary Care in Saint Joseph, MI

Great Lakes Gastroenterology Pllc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Saint Joseph, Michigan. The current practice location for Great Lakes Gastroenterology Pllc is 3903 Hollywood Rd, Saint Joseph, Michigan. For appointments, you can reach them via phone at (269) 408-1100. The mailing address for Great Lakes Gastroenterology Pllc is 3903 Hollywood Rd, Saint Joseph, Michigan and phone number is (269) 408-1100.

Great Lakes Gastroenterology Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780691899. 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 (269) 408-1100.

Contact Information

Great Lakes Gastroenterology Pllc
3903 Hollywood Rd
Saint Joseph
MI 49085-9149
(269) 408-1100
(269) 408-1329

Map and Direction


Primary Care Clinic Profile

Full NameGreat Lakes Gastroenterology Pllc
SpecialityInternal Medicine
Location3903 Hollywood Rd, Saint Joseph, Michigan
Authorized Official Name and PositionBruce A Jones (MEDICAL DOCTOR/PARTNER)
Authorized Official Contact2694081100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Great Lakes Gastroenterology Pllc
3903 Hollywood Rd
Saint Joseph
MI 49085-9149

Ph: (269) 408-1100
Great Lakes Gastroenterology Pllc
3903 Hollywood Rd
Saint Joseph
MI 49085-9149

Ph: (269) 408-1100

NPI Details:

NPI Number1780691899
Provider Enumeration Date08/02/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6103927702
Medicare Enrollment IDO20070726000550

Medical Identifiers

Medical identifiers for Great Lakes Gastroenterology Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780691899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (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. Great Lakes Gastroenterology Pllc acts as a billing entity for following providers:
Provider NameTimothy J Pelkey
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1942296785
PECOS PAC ID: 5395755268
Enrollment ID: I20060424000242
Provider NameKim Mills
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1386637692
PECOS PAC ID: 3577455203
Enrollment ID: I20060424000259
Provider NameHoussam Attal
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1760478598
PECOS PAC ID: 2668482530
Enrollment ID: I20060424000300
Provider NameBruce A Jones
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275526675
PECOS PAC ID: 6901907500
Enrollment ID: I20090415000628
Provider NameRickey L Snipes
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477546869
PECOS PAC ID: 4183725781
Enrollment ID: I20090514000346
Provider NameAther M Bukhari
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992798391
PECOS PAC ID: 4688868110
Enrollment ID: I20110222000747
Provider NameThomas R Birris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003083627
PECOS PAC ID: 9537324884
Enrollment ID: I20120711000532
Provider NameAlero F Inyang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1447460506
PECOS PAC ID: 0941455075
Enrollment ID: I20130221000213
Provider NameJulie L Yam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891131959
PECOS PAC ID: 5294065496
Enrollment ID: I20191002000923
Provider NameAnna Puzanov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033394416
PECOS PAC ID: 7719040203
Enrollment ID: I20191221000125
Provider NameFrank A Lopez
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730568452
PECOS PAC ID: 0244549061
Enrollment ID: I20210714000764

Reviews and Comments


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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.