Springport Medical Clinic - Medicare Primary Care in Eaton Rapids, MI

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Springport Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Eaton Rapids, Michigan. The current practice location for Springport Medical Clinic is 1500 S Main St, Eaton Rapids, Michigan. For appointments, you can reach them via phone at (517) 857-4500. The mailing address for Springport Medical Clinic is 400 E Main St, Suite 200, Springport, Michigan and phone number is (517) 857-4500.

Springport Medical Clinic is licensed to practice in Michigan (license number 230010). The clinic also participates in the medicare program and its NPI number is 1588810709. 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 (517) 857-4500.

Contact Information

Springport Medical Clinic
1500 S Main St
Eaton Rapids
MI 48827-1952
(517) 857-4500
(517) 857-4510

Map and Direction


Primary Care Clinic Profile

Full NameSpringport Medical Clinic
SpecialityClinic/Center
Location1500 S Main St, Eaton Rapids, Michigan
Authorized Official Name and PositionTimothy J. Johnson (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5176639474
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Springport Medical Clinic
400 E Main St
Suite 200
Springport
MI 49284-9774

Ph: (517) 857-4500		Springport Medical Clinic
1500 S Main St
Eaton Rapids
MI 48827-1952

Ph: (517) 857-4500

NPI Details:

NPI Number1588810709
Provider Enumeration Date08/08/2008
Last Update Date03/02/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5991692634
Medicare Enrollment IDO20040301000307

Medical Identifiers

Medical identifiers for Springport Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588810709NPI-NPPES
5170569MedicaidMI
OB37608OtherMIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 230010 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Springport Medical Clinic acts as a billing entity for following providers:
Provider NameAshok K Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003886565
PECOS PAC ID: 8729975040
Enrollment ID: I20040302000553
Provider NameDaniel L Richardson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326072489
PECOS PAC ID: 6901793165
Enrollment ID: I20040310000299
Provider NameMichael C Kowalczyk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649277211
PECOS PAC ID: 0244219194
Enrollment ID: I20040722001237
Provider NameLeslie A Neubecker-czubko
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1285779512
PECOS PAC ID: 3577596287
Enrollment ID: I20050914000032
Provider NameKerry Lynn Bartley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417979956
PECOS PAC ID: 8022023779
Enrollment ID: I20060216000222
Provider NameDavid W Mansky
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1407882384
PECOS PAC ID: 9032128392
Enrollment ID: I20060922000478
Provider NameMartin R Romero
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528086683
PECOS PAC ID: 5496751596
Enrollment ID: I20061012000552
Provider NameJohn G Fata
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346394772
PECOS PAC ID: 8325124746
Enrollment ID: I20080326000393
Provider NameJustin S Kisaka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912128539
PECOS PAC ID: 7113092578
Enrollment ID: I20080819000754
Provider NameDonna L Brown
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508809203
PECOS PAC ID: 9032272695
Enrollment ID: I20090108000616
Provider NameTammy A Stewart
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114176096
PECOS PAC ID: 4688737141
Enrollment ID: I20090108000705
Provider NameRyan A Jones
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437203700
PECOS PAC ID: 4880743954
Enrollment ID: I20090520000042
Provider NameAaron Michael Bohrer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548472079
PECOS PAC ID: 3173675444
Enrollment ID: I20090716000709
Provider NameEsli Gollapalli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083813653
PECOS PAC ID: 9638225485
Enrollment ID: I20090921000327
Provider NameJonathan S Cooper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497723522
PECOS PAC ID: 7416099106
Enrollment ID: I20100119000199
Provider NameAmit Ghose
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639177686
PECOS PAC ID: 0345382313
Enrollment ID: I20100129000036
Provider NameThomas A Kelly
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1629033444
PECOS PAC ID: 9931225273
Enrollment ID: I20100924000009
Provider NameHitesh M Bhatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477716579
PECOS PAC ID: 4688844483
Enrollment ID: I20110906000366
Provider NameHeidi R Pusey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194012302
PECOS PAC ID: 6103099429
Enrollment ID: I20111102000549
Provider NameEugene Rohacz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1174577787
PECOS PAC ID: 0345356499
Enrollment ID: I20120720000599
Provider NameAshley S Terranova
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487992350
PECOS PAC ID: 3577718378
Enrollment ID: I20130228000172
Provider NameAnne C Khol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770791246
PECOS PAC ID: 3274776653
Enrollment ID: I20130904000549
Provider NameCharles J Gardner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1720417090
PECOS PAC ID: 6709014723
Enrollment ID: I20140118000386
Provider NameMelissa K Aste
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447525407
PECOS PAC ID: 8820259161
Enrollment ID: I20140205001158
Provider NameFrancesca Marie Buskulic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023383668
PECOS PAC ID: 4688989080
Enrollment ID: I20150813011791
Provider NamePamela Becker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255714531
PECOS PAC ID: 6204143332
Enrollment ID: I20150922001132
Provider NameKatie Hammond
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225371909
PECOS PAC ID: 0749578524
Enrollment ID: I20161011001176
Provider NameCarly A Secord
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1285183855
PECOS PAC ID: 8729360342
Enrollment ID: I20170116000342
Provider NameAmanda Rose Koester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508301383
PECOS PAC ID: 4183907249
Enrollment ID: I20170215001644
Provider NameErin Maree Warriner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174068050
PECOS PAC ID: 9335422492
Enrollment ID: I20170215001755
Provider NameMatthew Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144649690
PECOS PAC ID: 6406126788
Enrollment ID: I20170719001593
Provider NameMichael C Mcrorie
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265928493
PECOS PAC ID: 2860745486
Enrollment ID: I20181030000362
Provider NameFelix Alberto Chalu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730686916
PECOS PAC ID: 6103170352
Enrollment ID: I20181107001106
Provider NameRichard James Sharon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649625708
PECOS PAC ID: 9537402573
Enrollment ID: I20190515001689
Provider NameAndrea R Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407312200
PECOS PAC ID: 3971839424
Enrollment ID: I20190723000348
Provider NameJennifer Michelle Wollack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265880140
PECOS PAC ID: 9032446190
Enrollment ID: I20190812003615
Provider NameBrian Estevez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457811788
PECOS PAC ID: 3678905601
Enrollment ID: I20191113002158
Provider NameKerri N Sinnott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053952820
PECOS PAC ID: 9234561747
Enrollment ID: I20191120002928
Provider NameMohamed Salim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851821383
PECOS PAC ID: 6507137767
Enrollment ID: I20200715002073
Provider NameGarrett Descoteaux-friday
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922539717
PECOS PAC ID: 9234554700
Enrollment ID: I20200730002103
Provider NamePuneet K Uppal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881115160
PECOS PAC ID: 4284045451
Enrollment ID: I20201118002530
Provider NameAshley Lynn Cochran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659992402
PECOS PAC ID: 5890101372
Enrollment ID: I20210308002007
Provider NameJacob R Compton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942794458
PECOS PAC ID: 6406102623
Enrollment ID: I20210514001042
Provider NameGustavo F Tataje Rengifo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033601489
PECOS PAC ID: 8921401001
Enrollment ID: I20210727002539
Provider NameLindsey Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003581646
PECOS PAC ID: 8729468616
Enrollment ID: I20220709000281
Provider NameLaura J Timm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043940430
PECOS PAC ID: 7012391063
Enrollment ID: I20220825001317
Provider NameJoy Ellen Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356064273
PECOS PAC ID: 9234515974
Enrollment ID: I20221003002124
Provider NameJanelle Marie Brush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568159937
PECOS PAC ID: 1759743560
Enrollment ID: I20230810002565

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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Ashok K Gupta Md Plc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827
Phone: 517-663-9469    Fax: 517-663-9470
Paul D Hankenson Do Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827
Phone: 517-663-3344    Fax: 517-663-1703
Thomas A. Kelly D.o. P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827
Phone: 517-663-2705    Fax: 517-663-9470

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.