- Medicare in Iron Mountain, MI

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is a medicare enrolled "Clinic/center - Ambulatory Surgical" provider in Iron Mountain, Michigan. Their current practice location is 1301 Carpenter Ave, Iron Mountain, Michigan. You can reach out to their office (for appointments etc.) via phone at (906) 774-1404.

is licensed to practice in Michigan (license number 13429) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1760401848.

Contact Information

1301 Carpenter Ave,
Iron Mountain, MI 49801-4725
(906) 774-1404
(906) 774-8132

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Ambulatory Surgical
Location1301 Carpenter Ave, Iron Mountain, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760401848
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 09/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779506514
  • Enrollment ID: O20070321000558

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760401848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003320 (Michigan)Secondary
152W00000XOptometrist 2367-35 (Wisconsin)Secondary
174400000XSpecialist 4301040476 (Michigan)Secondary
174400000XSpecialist 28873-20 (Wisconsin)Secondary
207W00000XOphthalmology (* (Not Available))Secondary
261QA1903XClinic/center - Ambulatory Surgical 13429 (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. acts as a billing entity for following providers:
Provider NameJohn M Garrett
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1104829449
PECOS PAC ID: 8224051065
Enrollment ID: I20070321000546
Provider NamePaul R Gayeff
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396850566
PECOS PAC ID: 8123156692
Enrollment ID: I20100505000213
Provider NameWilliam Phillip Potthoff
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1568759314
PECOS PAC ID: 0648590190
Enrollment ID: I20150522001444
Provider NameCameron S Anderson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1700346756
PECOS PAC ID: 8426487273
Enrollment ID: I20230622003098

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1301 Carpenter Ave,
Iron Mountain, MI 49801-4725

Ph: (906) 774-1404
1301 Carpenter Ave,
Iron Mountain, MI 49801-4725

Ph: (906) 774-1404

Reviews and Comments



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.