Otsego Memorial Hospital Rural Health Clinic - Medicare Primary Care in Gaylord, MI

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Otsego Memorial Hospital Rural Health Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Gaylord, Michigan. The current practice location for Otsego Memorial Hospital Rural Health Clinic is 829 N Center Ave, Gaylord, Michigan. For appointments, you can reach them via phone at (989) 731-7708. The mailing address for Otsego Memorial Hospital Rural Health Clinic is 825 N Center Ave, Gaylord, Michigan and phone number is (989) 731-2100.

Otsego Memorial Hospital Rural Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164628426. 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 (989) 731-7708.

Contact Information

Otsego Memorial Hospital Rural Health Clinic
829 N Center Ave
Gaylord
MI 49735
(989) 731-7708
(989) 731-7929

Map and Direction


Primary Care Clinic Profile

Full NameOtsego Memorial Hospital Rural Health Clinic
SpecialityClinic/Center
Location829 N Center Ave, Gaylord, Michigan
Authorized Official Name and PositionAlicia Maitland (CFO)
Authorized Official Contact2319357840
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Otsego Memorial Hospital Rural Health Clinic
825 N Center Ave
Gaylord
MI 49735-1592

Ph: (989) 731-2100		Otsego Memorial Hospital Rural Health Clinic
829 N Center Ave
Gaylord
MI 49735

Ph: (989) 731-7708

NPI Details:

NPI Number1164628426
Provider Enumeration Date06/25/2007
Last Update Date09/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8325942535
Medicare Enrollment IDO20040305000525

Medical Identifiers

Medical identifiers for Otsego Memorial Hospital Rural Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164628426NPI-NPPES
23-8607OtherCMS CERTIFICATION NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
282NR1301XGeneral Acute Care Hospital - Rural 238607 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Otsego Memorial Hospital Rural Health Clinic acts as a billing entity for following providers:
Provider NameRonald A Weisberger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518992064
PECOS PAC ID: 4486559309
Enrollment ID: I20031204000279
Provider NameKathleen M Pawlanta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225055833
PECOS PAC ID: 3173417763
Enrollment ID: I20040213000066
Provider NameCraig S Mccardell
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1821072802
PECOS PAC ID: 6507842283
Enrollment ID: I20040624001130
Provider NameSteven J Wisniewski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104851658
PECOS PAC ID: 5294705752
Enrollment ID: I20040730000558
Provider NameKeith Y Miyamoto
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609883842
PECOS PAC ID: 1759350978
Enrollment ID: I20040927000285
Provider NameLouis S Habryl
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427033976
PECOS PAC ID: 3476445156
Enrollment ID: I20050202000086
Provider NameKhristine C Botezan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912954652
PECOS PAC ID: 7810949773
Enrollment ID: I20050218000492
Provider NameRenae L Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518923093
PECOS PAC ID: 0749227924
Enrollment ID: I20050408000967
Provider NameLynne Mccormick
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1194779983
PECOS PAC ID: 5496790917
Enrollment ID: I20050624000880
Provider NameJames F Rosenbaum
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225003148
PECOS PAC ID: 2264338383
Enrollment ID: I20060505000287
Provider NamePeter Mcandrews
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1396784013
PECOS PAC ID: 1456378959
Enrollment ID: I20060713000322
Provider NameSuzanne A Law
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1093796476
PECOS PAC ID: 0042233470
Enrollment ID: I20061113000123
Provider NameLisa Allred
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386716223
PECOS PAC ID: 0042219149
Enrollment ID: I20061219000510
Provider NameMedina H Gregory
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1548481716
PECOS PAC ID: 8123128584
Enrollment ID: I20070713000592
Provider NameRoger K Gerstle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285792754
PECOS PAC ID: 3870693260
Enrollment ID: I20070713000768
Provider NameJohn D Moffat
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053373118
PECOS PAC ID: 4385684257
Enrollment ID: I20070927000713
Provider NameLori F Schiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952474512
PECOS PAC ID: 4587759832
Enrollment ID: I20071001000715
Provider NameKristin S Maschke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992778807
PECOS PAC ID: 7810069564
Enrollment ID: I20080711000598
Provider NameWayne A Fuller
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1952390700
PECOS PAC ID: 7012060544
Enrollment ID: I20090807000213
Provider NameCatherine Bluteau Stoddard
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376756643
PECOS PAC ID: 5193879674
Enrollment ID: I20090818000535
Provider NameDavid W Miner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700806882
PECOS PAC ID: 9739191214
Enrollment ID: I20091022000144
Provider NameJanelle H Hendrian
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1972724037
PECOS PAC ID: 3577604081
Enrollment ID: I20100106000346
Provider NameChangxin Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114958899
PECOS PAC ID: 5395888978
Enrollment ID: I20100204000347
Provider NameMary B Seger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518998772
PECOS PAC ID: 2264576354
Enrollment ID: I20100212000078
Provider NameJennifer A Atkins
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518983006
PECOS PAC ID: 0042354763
Enrollment ID: I20100218000823
Provider NameMarc E Lame
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1902833163
PECOS PAC ID: 7416841267
Enrollment ID: I20100308000025
Provider NameLuis R Collazo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598754715
PECOS PAC ID: 1951436518
Enrollment ID: I20100322000229
Provider NameMichael H Stargardt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184884835
PECOS PAC ID: 3476681271
Enrollment ID: I20100517000077
Provider NameMichael H Florek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750307443
PECOS PAC ID: 7012046204
Enrollment ID: I20100526000750
Provider NameTimothy G Esser
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1659352235
PECOS PAC ID: 7214061050
Enrollment ID: I20100817000052
Provider NameJoseph Cottingham Jameson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619974060
PECOS PAC ID: 6709980964
Enrollment ID: I20101109000735
Provider NameNathan A Mann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811155112
PECOS PAC ID: 8325190671
Enrollment ID: I20110629000519
Provider NameMargaret L Rorick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699771857
PECOS PAC ID: 4284803925
Enrollment ID: I20110812000662
Provider NameJustin J Hollander
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1053538868
PECOS PAC ID: 0042489734
Enrollment ID: I20110815000573
Provider NameDavid J Kurn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013153063
PECOS PAC ID: 0749477370
Enrollment ID: I20110914000693
Provider NameValda L Byrd
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760489561
PECOS PAC ID: 1850563594
Enrollment ID: I20110930000482
Provider NameSoo Young Hwang
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891894689
PECOS PAC ID: 8921267659
Enrollment ID: I20120315000352
Provider NameBrian H Ngo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174743348
PECOS PAC ID: 8921144007
Enrollment ID: I20120426000052
Provider NameMatthew J Marquart
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164610960
PECOS PAC ID: 8426227372
Enrollment ID: I20121018000314
Provider NameJulie A Hodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902150741
PECOS PAC ID: 0345493680
Enrollment ID: I20130116000485
Provider NameLisa A Stier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265774269
PECOS PAC ID: 1759522915
Enrollment ID: I20130730000952
Provider NameMariana L Perinot
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740591908
PECOS PAC ID: 0143462705
Enrollment ID: I20130809000552
Provider NameMatthew A Mazur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376719781
PECOS PAC ID: 0345311262
Enrollment ID: I20140226000393
Provider NameBeth M Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811279789
PECOS PAC ID: 7315161940
Enrollment ID: I20140620001460
Provider NameJames R. Shurlow
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1437383023
PECOS PAC ID: 3375767916
Enrollment ID: I20140620001690
Provider NameJay M Ruddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255756375
PECOS PAC ID: 2365662152
Enrollment ID: I20140929002232
Provider NameKristy J Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720417694
PECOS PAC ID: 5698903227
Enrollment ID: I20141022000462
Provider NameMegan Kyna Spicer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114335106
PECOS PAC ID: 5294957130
Enrollment ID: I20141110001960
Provider NameJennifer L Lawhorn
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1952564213
PECOS PAC ID: 0143549238
Enrollment ID: I20150512002746
Provider NameSarah Ellen Stearns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598146516
PECOS PAC ID: 0244543718
Enrollment ID: I20150714000341
Provider NameStephanie Rutterbush
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649652298
PECOS PAC ID: 5890008528
Enrollment ID: I20150723007937
Provider NameEric B Lerche
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1225264005
PECOS PAC ID: 9436377645
Enrollment ID: I20150806010950
Provider NameGlen Macpherson
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1467429050
PECOS PAC ID: 0446387252
Enrollment ID: I20150806011036
Provider NameJoshua W Saur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346655149
PECOS PAC ID: 7911217187
Enrollment ID: I20151030002114
Provider NameStephanie D Markle
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1992937403
PECOS PAC ID: 9931326196
Enrollment ID: I20160818000182
Provider NameMatthew G Arnold
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376854653
PECOS PAC ID: 8426344185
Enrollment ID: I20160906001272
Provider NameKelly R Donovan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215373451
PECOS PAC ID: 7012203649
Enrollment ID: I20160908001375
Provider NameCortney B Casper
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811331663
PECOS PAC ID: 4587947304
Enrollment ID: I20170711003427
Provider NameMichael Donald Katona
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174043889
PECOS PAC ID: 6204109382
Enrollment ID: I20170912002269
Provider NameLauren Atkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063925246
PECOS PAC ID: 4082971650
Enrollment ID: I20171207000058
Provider NameRose Mary Noetzel Spellman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154808418
PECOS PAC ID: 2567713860
Enrollment ID: I20180926001114
Provider NameMatthew J Dubiel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114280898
PECOS PAC ID: 7911135256
Enrollment ID: I20181008001654
Provider NameThomas Kane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528548708
PECOS PAC ID: 8921114265
Enrollment ID: I20181011002416
Provider NamePhoebe Day Danziger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669885125
PECOS PAC ID: 4183931165
Enrollment ID: I20190912000243
Provider NameHeather L Bur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356892624
PECOS PAC ID: 0648509877
Enrollment ID: I20190912001984
Provider NameLindsey Marie Ranstadler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033674072
PECOS PAC ID: 3375970114
Enrollment ID: I20200217004268
Provider NameKarie Lynn Llewellyn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942763164
PECOS PAC ID: 7618304478
Enrollment ID: I20200218000654
Provider NameAmanda Radocy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750911434
PECOS PAC ID: 2961830526
Enrollment ID: I20200312001499
Provider NameAlexis R Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235624396
PECOS PAC ID: 9133558976
Enrollment ID: I20200331000599
Provider NameAshley Borowiak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295383008
PECOS PAC ID: 4981026788
Enrollment ID: I20200624002551
Provider NameLindsay Harden
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578883609
PECOS PAC ID: 8123331311
Enrollment ID: I20200720001995
Provider NamePatricia Lynn Kindsvater
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508398405
PECOS PAC ID: 2567736259
Enrollment ID: I20200813002222
Provider NameBenjamin Vanos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508392614
PECOS PAC ID: 0941626337
Enrollment ID: I20200817000769
Provider NameStacey Sensor
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588658579
PECOS PAC ID: 8224193016
Enrollment ID: I20201204000387
Provider NameJami Grosberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407474364
PECOS PAC ID: 5890107064
Enrollment ID: I20201211000355
Provider NameJennifer Erin Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043767395
PECOS PAC ID: 8921386566
Enrollment ID: I20210615000735
Provider NameMichael Vanwagner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639551559
PECOS PAC ID: 7810200797
Enrollment ID: I20210615001312
Provider NamePaul K Reynolds
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285095166
PECOS PAC ID: 2769774918
Enrollment ID: I20210913002034
Provider NameTabitha Carolin Pardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548852130
PECOS PAC ID: 0143628974
Enrollment ID: I20211008002087
Provider NameVesna Sokolova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730431099
PECOS PAC ID: 2668863804
Enrollment ID: I20211227000571
Provider NameJosephine Anne Vincent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487257382
PECOS PAC ID: 5092100784
Enrollment ID: I20220316000229
Provider NameMargaret Emily-pawlowski Bovee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649815366
PECOS PAC ID: 1355721465
Enrollment ID: I20220707001542
Provider NameJennifer Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447866330
PECOS PAC ID: 1759764533
Enrollment ID: I20220811000159
Provider NameCarrie Lahaie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700524303
PECOS PAC ID: 1456735059
Enrollment ID: I20220831001553
Provider NameEmily N Mckerchie
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366962128
PECOS PAC ID: 9638448491
Enrollment ID: I20221212000648
Provider NameAshleigh Kay Catton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720705940
PECOS PAC ID: 2769856145
Enrollment ID: I20230327000981
Provider NameAlyssa Pechta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396443891
PECOS PAC ID: 1254706039
Enrollment ID: I20230410000215
Provider NameStephanie Lee Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699419960
PECOS PAC ID: 8123493558
Enrollment ID: I20230417001256
Provider NameKaylyn Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700582673
PECOS PAC ID: 5991160400
Enrollment ID: I20230504001817
Provider NameLauren Osbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588370076
PECOS PAC ID: 6901267541
Enrollment ID: I20230731001245
Provider NameJordan Nester
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1689106270
PECOS PAC ID: 4688943897
Enrollment ID: I20230921003273
Provider NameJared L Davis
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1114459476
PECOS PAC ID: 6507135175
Enrollment ID: I20230922002257
Provider NameCharles Hughes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669897492
PECOS PAC ID: 7810345295
Enrollment ID: I20231122003054
Provider NameAnne Marie Bumbalough
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508196510
PECOS PAC ID: 7315395712
Enrollment ID: I20231125000248
Provider NameMarjorie Lee Beigle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164206637
PECOS PAC ID: 6709237258
Enrollment ID: I20240109001726
Provider NameBenjamin P Roose
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609286509
PECOS PAC ID: 6800012253
Enrollment ID: I20240208002610

Reviews and Comments


Clinic/Center in Gaylord, MI

Munson Healthcare Omh Walk-in Clinic Rhc
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Medicare: Medicare Enrolled
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Phone: 989-731-4111    Fax: 989-705-8511
Pine Trees Medical Office, P.c.
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Medicare: Not Enrolled in Medicare
Practice Location: 604 W Main St, Ste B, Gaylord, MI 49735
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Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
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Donald P. Cousineau Do Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 994 N Center Ave, Gaylord, MI 49735
Phone: 989-732-7843    Fax: 989-731-4513
Purehealth Urgent Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1723 W M 32 Ste B, Gaylord, MI 49735
Phone: 248-238-3666    
Gaylord Family Practice Associates Plc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1320 E M 32, Gaylord, MI 49735
Phone: 989-731-5092    Fax: 989-731-7639

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.