West Front Primary Care, P.l.l.c. - Medicare Primary Care in Traverse City, MI

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West Front Primary Care, P.l.l.c. is a medicare enrolled primary clinic (Family Medicine) in Traverse City, Michigan. The current practice location for West Front Primary Care, P.l.l.c. is 4290 Copper Ridge Dr Ste 200, Traverse City, Michigan. For appointments, you can reach them via phone at (231) 935-8930. The mailing address for West Front Primary Care, P.l.l.c. is 4290 Copper Ridge Dr Ste 200, Traverse City, Michigan and phone number is (231) 935-8930.

West Front Primary Care, P.l.l.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851490296. 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 (231) 935-8930.

Contact Information

West Front Primary Care, P.l.l.c.
4290 Copper Ridge Dr Ste 200
Traverse City
MI 49684-7205
(231) 935-8930
(231) 935-8811

Map and Direction


Primary Care Clinic Profile

Full NameWest Front Primary Care, P.l.l.c.
SpecialityFamily Medicine
Location4290 Copper Ridge Dr Ste 200, Traverse City, Michigan
Authorized Official Name and PositionTobin J. Fraser (CHAIRMAN OF THE BOARD)
Authorized Official Contact2319358930
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
West Front Primary Care, P.l.l.c.
4290 Copper Ridge Dr Ste 200
Traverse City
MI 49684-7205

Ph: (231) 935-8930		West Front Primary Care, P.l.l.c.
4290 Copper Ridge Dr Ste 200
Traverse City
MI 49684-7205

Ph: (231) 935-8930

NPI Details:

NPI Number1851490296
Provider Enumeration Date09/22/2006
Last Update Date04/04/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4183514706
Medicare Enrollment IDO20040317001391

Medical Identifiers

Medical identifiers for West Front Primary Care, P.l.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851490296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. West Front Primary Care, P.l.l.c. acts as a billing entity for following providers:
Provider NameNathan E March
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467462762
PECOS PAC ID: 6305737586
Enrollment ID: I20040324001585
Provider NameTobin J Fraser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336159102
PECOS PAC ID: 5193615284
Enrollment ID: I20040414001425
Provider NameBradley P Goodwin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326058124
PECOS PAC ID: 8921998014
Enrollment ID: I20040414001480
Provider NameAnessa L Songer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316081326
PECOS PAC ID: 7719072206
Enrollment ID: I20070928000048
Provider NameKari L Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780850941
PECOS PAC ID: 8224106356
Enrollment ID: I20081002000525
Provider NameMark David Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669449443
PECOS PAC ID: 9133259401
Enrollment ID: I20100612000069
Provider NameRenee M Tamlyn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962654277
PECOS PAC ID: 8729259619
Enrollment ID: I20110926000812
Provider NameKylee Lynn Gatzke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730431917
PECOS PAC ID: 9537310701
Enrollment ID: I20121116000019
Provider NameAaron J Heindl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457663361
PECOS PAC ID: 5597908905
Enrollment ID: I20130904000892
Provider NameHilarion H Bibicoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114367703
PECOS PAC ID: 6406166628
Enrollment ID: I20160728000381
Provider NameTina Maria Metropoulos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851529614
PECOS PAC ID: 9032346697
Enrollment ID: I20160908000111
Provider NameLeah Walbridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720515190
PECOS PAC ID: 0345577029
Enrollment ID: I20190805001305
Provider NameThomas C Walbridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710414180
PECOS PAC ID: 1951638634
Enrollment ID: I20190805001440
Provider NameLaura Elizabeth Kroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134761588
PECOS PAC ID: 5991037228
Enrollment ID: I20191105003034
Provider NameAmanda G Blades
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497326045
PECOS PAC ID: 3779988506
Enrollment ID: I20210818000326

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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.