<unavail> in Canton, MI - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Canton, Michigan. The current practice location for is 50439 Independence St, Canton, Michigan. For appointments, you can reach them via phone at (734) 879-1068. The mailing address for is 49796 Taft Ln, Canton, Michigan and phone number is (734) 645-9228.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629348792. 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 (734) 879-1068.

Contact Information


	50439 Independence St Canton MI 48188-6735
	(734) 879-1068
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	50439 Independence St, Canton, Michigan
Authorized Official Name and Position	Kenneth J Grimm (MEMBER)
Authorized Official Contact	7346459228
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
49796 Taft Ln Canton MI 48188-6722 Ph: (734) 645-9228	50439 Independence St Canton MI 48188-6735 Ph: (734) 879-1068

NPI Details:

NPI Number	1629348792
Provider Enumeration Date	01/06/2012
Last Update Date	07/05/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	7214192640
Medicare Enrollment ID	O20120709000733

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629348792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family 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. acts as a billing entity for following providers:

Provider Name	Sara Michelle West
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1265858500 PECOS PAC ID: 1759513260 Enrollment ID: I20140416001183

Reviews and Comments

Family Medicine in Canton, MI

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- Medicare Primary Care in Canton, MI