Port Huron Physicians Medical Group Pc - Medicare Primary Care in Fort Gratiot, MI

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Port Huron Physicians Medical Group Pc is a medicare enrolled primary clinic (Family Medicine) in Fort Gratiot, Michigan. The current practice location for Port Huron Physicians Medical Group Pc is 4190 24th Ave, Suite 206, Fort Gratiot, Michigan. For appointments, you can reach them via phone at (810) 216-4000. The mailing address for Port Huron Physicians Medical Group Pc is Po Box 638928, Cincinnati, Ohio and phone number is (810) 216-1884.

Port Huron Physicians Medical Group Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598141640. 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 (810) 216-4000.

Contact Information

Port Huron Physicians Medical Group Pc
4190 24th Ave
Suite 206
Fort Gratiot
MI 48059-3882
(810) 216-4000
(810) 216-4001

Map and Direction


Primary Care Clinic Profile

Full NamePort Huron Physicians Medical Group Pc
SpecialityFamily Medicine
Location4190 24th Ave, Fort Gratiot, Michigan
Authorized Official Name and PositionJulie Ann Brown-mccoy (CBO MANAGER)
Authorized Official Contact8102162902
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Port Huron Physicians Medical Group Pc
Po Box 638928
Cincinnati
OH 45263-0669

Ph: (810) 216-1884		Port Huron Physicians Medical Group Pc
4190 24th Ave
Suite 206
Fort Gratiot
MI 48059-3882

Ph: (810) 216-4000

NPI Details:

NPI Number1598141640
Provider Enumeration Date07/30/2015
Last Update Date03/16/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0840507802
Medicare Enrollment IDO20150923002611

Medical Identifiers

Medical identifiers for Port Huron Physicians Medical Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598141640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207VX0000XObstetrics & Gynecology - Obstetrics (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
207Q00000XFamily Medicine (* (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. Port Huron Physicians Medical Group Pc acts as a billing entity for following providers:
Provider NamePatrick A Kut
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063496123
PECOS PAC ID: 4385547355
Enrollment ID: I20040128000527
Provider NameRubina Karim
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1427030329
PECOS PAC ID: 3678525219
Enrollment ID: I20050211000441
Provider NameDavid Bailey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235126954
PECOS PAC ID: 0244254506
Enrollment ID: I20060125000702
Provider NameDawn Elaine Morey
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003925033
PECOS PAC ID: 2062428485
Enrollment ID: I20060222000585
Provider NameMohamed El-fakharany
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1225242449
PECOS PAC ID: 3577663616
Enrollment ID: I20070829000174
Provider NameAvinash L Jadhav
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447211545
PECOS PAC ID: 7315931573
Enrollment ID: I20080225000275
Provider NameKristin Marie Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801029418
PECOS PAC ID: 7214072529
Enrollment ID: I20100310000808
Provider NameJojean Hamilton
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1699873612
PECOS PAC ID: 1951309798
Enrollment ID: I20110420000807
Provider NameRobert John Sachs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033203591
PECOS PAC ID: 8325108046
Enrollment ID: I20140131001768
Provider NameMargaret M Marth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740686534
PECOS PAC ID: 0840513974
Enrollment ID: I20141222002218
Provider NameChristine S Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902186752
PECOS PAC ID: 4183869886
Enrollment ID: I20150423000167
Provider NameMohammad L Othman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1841678240
PECOS PAC ID: 7012238637
Enrollment ID: I20150609000182
Provider NameRashim Kumari Gupta
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1740424001
PECOS PAC ID: 3375776784
Enrollment ID: I20150721002266
Provider NameShilpin A Mehta
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1871856948
PECOS PAC ID: 2668761727
Enrollment ID: I20170821002140
Provider NameGaurav Bhalla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457616120
PECOS PAC ID: 0244505170
Enrollment ID: I20171003006805
Provider NameAaron J Overly
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861758880
PECOS PAC ID: 9133350549
Enrollment ID: I20171023001354
Provider NameKristin L Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972042521
PECOS PAC ID: 5294010203
Enrollment ID: I20180907000983
Provider NameLindsey Deborah Rieck
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194089938
PECOS PAC ID: 5395987424
Enrollment ID: I20191115000197
Provider NameEmily Grout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265058390
PECOS PAC ID: 3072931393
Enrollment ID: I20200917001450
Provider NameAlissa M Walker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1922486166
PECOS PAC ID: 5597035923
Enrollment ID: I20201023002648
Provider NameSharanya Golagabathula
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326536202
PECOS PAC ID: 6406105113
Enrollment ID: I20210728002533
Provider NameEmily Jean Puzan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891351672
PECOS PAC ID: 5799178588
Enrollment ID: I20220128002173
Provider NameAshley Gretel Schultz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114637782
PECOS PAC ID: 7517325913
Enrollment ID: I20230616000607
Provider NameShivashankar Damodaran
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1528558277
PECOS PAC ID: 2264781186
Enrollment ID: I20230919003815
Provider NameBedir Akbar
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1962963264
PECOS PAC ID: 4284961673
Enrollment ID: I20240808003465
Provider NameRubaiya Faruque
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184204281
PECOS PAC ID: 5395276463
Enrollment ID: I20240930002884

Reviews and Comments


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Phone: 810-216-4000    Fax: 810-216-4001
Region Vii Area Agency On Aging Inc
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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.