Corewell Health Watervliet Hospital Primary Care - Hartford - Medicare Primary Care in Hartford, MI

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Corewell Health Watervliet Hospital Primary Care - Hartford is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Hartford, Michigan. The current practice location for Corewell Health Watervliet Hospital Primary Care - Hartford is 525 S Center St, Hartford, Michigan. For appointments, you can reach them via phone at (269) 621-4063. The mailing address for Corewell Health Watervliet Hospital Primary Care - Hartford is 400 Medical Park Drive, Watervliet, Michigan and phone number is (269) 463-2448.

Corewell Health Watervliet Hospital Primary Care - Hartford is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023114741. 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) 621-4063.

Contact Information

Corewell Health Watervliet Hospital Primary Care - Hartford
525 S Center St
Hartford
MI 49057-1362
(269) 621-4063
(269) 621-9972

Map and Direction


Primary Care Clinic Profile

Full NameCorewell Health Watervliet Hospital Primary Care - Hartford
SpecialityClinic/Center
Location525 S Center St, Hartford, Michigan
Authorized Official Name and PositionMatthew Cox (CFO)
Authorized Official Contact6169153777
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corewell Health Watervliet Hospital Primary Care - Hartford
400 Medical Park Drive
Watervliet
MI 49098

Ph: (269) 463-2448		Corewell Health Watervliet Hospital Primary Care - Hartford
525 S Center St
Hartford
MI 49057-1362

Ph: (269) 621-4063

NPI Details:

NPI Number1023114741
Provider Enumeration Date09/16/2006
Last Update Date04/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7416942750
Medicare Enrollment IDO20040416000984

Medical Identifiers

Medical identifiers for Corewell Health Watervliet Hospital Primary Care - Hartford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023114741NPI-NPPES
700A160280OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (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. Corewell Health Watervliet Hospital Primary Care - Hartford acts as a billing entity for following providers:
Provider NameJohn R Gosling
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851387302
PECOS PAC ID: 4789676487
Enrollment ID: I20040409000114
Provider NameDonald Frederick Brooks
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790733293
PECOS PAC ID: 7214994052
Enrollment ID: I20041214000427
Provider NameRobert Scott Schaefer
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932195393
PECOS PAC ID: 3173417482
Enrollment ID: I20050221000496
Provider NameSean W Sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194762286
PECOS PAC ID: 5597718486
Enrollment ID: I20050303000169
Provider NameBruce P Hackworth
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063448918
PECOS PAC ID: 2062456031
Enrollment ID: I20050610000813
Provider NameLois G Lello
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255367850
PECOS PAC ID: 7911934880
Enrollment ID: I20050721000919
Provider NameChristopher J Harvey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265460489
PECOS PAC ID: 0941230080
Enrollment ID: I20050817001080
Provider NameLeanne Marie Miller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326077744
PECOS PAC ID: 9931121670
Enrollment ID: I20051222000311
Provider NameDavid A Puzycki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952478281
PECOS PAC ID: 2062413560
Enrollment ID: I20070126000103
Provider NameGerald A Friedman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346217445
PECOS PAC ID: 9537262795
Enrollment ID: I20070404000253
Provider NameErnest Buck
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861504987
PECOS PAC ID: 2567443039
Enrollment ID: I20071026000674
Provider NameEwanah Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841282456
PECOS PAC ID: 4284717364
Enrollment ID: I20080213000042
Provider NameJeffery T Postma
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1154340693
PECOS PAC ID: 8729162607
Enrollment ID: I20080303000149
Provider NameDale G Leffler
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1346463254
PECOS PAC ID: 7810074655
Enrollment ID: I20080404000075
Provider NameJohn R Spriegel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235146721
PECOS PAC ID: 5496839128
Enrollment ID: I20080915000560
Provider NameJason L Ford
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063463933
PECOS PAC ID: 0446270474
Enrollment ID: I20090121000231
Provider NameMichael E Mayle
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1851403307
PECOS PAC ID: 1254496979
Enrollment ID: I20090213000319
Provider NameMichael P Maskill
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184886111
PECOS PAC ID: 4385710474
Enrollment ID: I20090810000472
Provider NameShannon K Twiddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386899292
PECOS PAC ID: 9830235738
Enrollment ID: I20091007000190
Provider NameBrad S Ferrari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518995828
PECOS PAC ID: 2961545942
Enrollment ID: I20100130000358
Provider NameDaniel M Metzger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265478192
PECOS PAC ID: 1052495785
Enrollment ID: I20100205000471
Provider NameJoseph S Mashni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265424527
PECOS PAC ID: 1759439441
Enrollment ID: I20100521000384
Provider NameRebecca J Burnau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538482237
PECOS PAC ID: 3072647353
Enrollment ID: I20100823000843
Provider NameRyan S Klanseck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811195712
PECOS PAC ID: 0941493522
Enrollment ID: I20101015000667
Provider NameJames Clancy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679539811
PECOS PAC ID: 0042353005
Enrollment ID: I20101103000783
Provider NameCharlotte Lofgren
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154529436
PECOS PAC ID: 6507054269
Enrollment ID: I20101221001161
Provider NameJonathan R Steen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750543849
PECOS PAC ID: 3072784404
Enrollment ID: I20110915000509
Provider NameJonathan Nykamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144519133
PECOS PAC ID: 3779755939
Enrollment ID: I20111012000084
Provider NameShan E Abbas
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730362674
PECOS PAC ID: 5597920272
Enrollment ID: I20120702000303
Provider NameNancy Jo Fantetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891054458
PECOS PAC ID: 0244485639
Enrollment ID: I20130727000175
Provider NameBrian E Bates
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558317446
PECOS PAC ID: 9133020167
Enrollment ID: I20131003000595
Provider NameJay V Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487974663
PECOS PAC ID: 1658506373
Enrollment ID: I20131104001500
Provider NameTodd W Haney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598198673
PECOS PAC ID: 7618102187
Enrollment ID: I20131109000234
Provider NameTobin Jay Klint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407260201
PECOS PAC ID: 7416175294
Enrollment ID: I20140820002683
Provider NameAngelique Y Madison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417358995
PECOS PAC ID: 9436474244
Enrollment ID: I20150218001341
Provider NameJames Thomas Maskill
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992064497
PECOS PAC ID: 3072730654
Enrollment ID: I20150810000438
Provider NameElizabeth A Mcglothlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124394945
PECOS PAC ID: 9931414000
Enrollment ID: I20150818005941
Provider NameBrandi A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265898878
PECOS PAC ID: 8628372810
Enrollment ID: I20160209001055
Provider NameAmanda Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174984413
PECOS PAC ID: 3870884810
Enrollment ID: I20160621002871
Provider NameEvan Tank
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124316054
PECOS PAC ID: 9931417813
Enrollment ID: I20160623000568
Provider NameSusan K Kasko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609219070
PECOS PAC ID: 6901030535
Enrollment ID: I20161025002180
Provider NameOlivia Cochran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184176786
PECOS PAC ID: 3274815840
Enrollment ID: I20170117001876
Provider NameJanelle M Cornforth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558801068
PECOS PAC ID: 5890062012
Enrollment ID: I20170518001510
Provider NameJonathan Patrick Egle
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346470176
PECOS PAC ID: 5799041976
Enrollment ID: I20171102003600
Provider NameMeredith Marie Krugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639684178
PECOS PAC ID: 6901167220
Enrollment ID: I20180301002562
Provider NameTanya Sobaski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205322534
PECOS PAC ID: 3870841885
Enrollment ID: I20180808001250
Provider NameDennis L Disch
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003812926
PECOS PAC ID: 2860394376
Enrollment ID: I20180910000539
Provider NameRaul Hector Torres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982041620
PECOS PAC ID: 2163731373
Enrollment ID: I20181106002479
Provider NameDeanna Margaret Rucano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174011316
PECOS PAC ID: 0042554321
Enrollment ID: I20181128001543
Provider NameErika Suzanne Nearpass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053725267
PECOS PAC ID: 8628387578
Enrollment ID: I20190821001085
Provider NameTringo Dessie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326695552
PECOS PAC ID: 9739419474
Enrollment ID: I20190924001238
Provider NameDuston Boyd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538521331
PECOS PAC ID: 7719276963
Enrollment ID: I20191004001778
Provider NameCelia Stenfors-dacre
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1780895581
PECOS PAC ID: 5698665552
Enrollment ID: I20191108001790
Provider NameKathryn M Vera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861033599
PECOS PAC ID: 1557794948
Enrollment ID: I20191125001541
Provider NameMarlene Dee Ford
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255382164
PECOS PAC ID: 5395766786
Enrollment ID: I20191213001586
Provider NameLindsey Catherine Healy
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1386007029
PECOS PAC ID: 4385056381
Enrollment ID: I20201216001316
Provider NameJames Strycker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134533565
PECOS PAC ID: 1254557804
Enrollment ID: I20201218001898
Provider NameBarbara Glassford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891207320
PECOS PAC ID: 6103183504
Enrollment ID: I20210201000469
Provider NameLaura I Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306438288
PECOS PAC ID: 8224443312
Enrollment ID: I20210223002590
Provider NameEdward Chen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1992110316
PECOS PAC ID: 0143640748
Enrollment ID: I20210326001618
Provider NameWillie E Lawrence
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851345466
PECOS PAC ID: 2860304326
Enrollment ID: I20210429001343
Provider NameSarah Hop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003303546
PECOS PAC ID: 1951706746
Enrollment ID: I20210817001473
Provider NameNatasha Victoria Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245803568
PECOS PAC ID: 8426453226
Enrollment ID: I20210817001871
Provider NameMichelle Lynn Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073269445
PECOS PAC ID: 8123405107
Enrollment ID: I20220512001205
Provider NameJohn Philip Markovic
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770903189
PECOS PAC ID: 2163649880
Enrollment ID: I20220609000436
Provider NameLuke William Linscheid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598495988
PECOS PAC ID: 2961884150
Enrollment ID: I20220804002040
Provider NameGretchen L Carlson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1225108152
PECOS PAC ID: 6204219975
Enrollment ID: I20220812000423
Provider NameMegan P Samples
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043612724
PECOS PAC ID: 1557738119
Enrollment ID: I20221110002105
Provider NameLindsey A Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114685807
PECOS PAC ID: 8628440849
Enrollment ID: I20230215002017
Provider NameWilliam Ward
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689657785
PECOS PAC ID: 8022144047
Enrollment ID: I20230317001390
Provider NameDavid Mcintosh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770215428
PECOS PAC ID: 1658757208
Enrollment ID: I20230319000011
Provider NameLaura C Trail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548955412
PECOS PAC ID: 2466811856
Enrollment ID: I20230703001173
Provider NameSarah L Thordarson
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275196933
PECOS PAC ID: 2062873474
Enrollment ID: I20230802000670
Provider NameJon Andrew Ferlmann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669001046
PECOS PAC ID: 2961863295
Enrollment ID: I20230802001551
Provider NameAndrea Edgerly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922506948
PECOS PAC ID: 0941561872
Enrollment ID: I20230908001575

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.