Blue Water Internal Medicine, Pc in Port Huron, MI

Blue Water Internal Medicine, Pc is a medicare enrolled primary clinic (Internal Medicine) in Port Huron, Michigan. The current practice location for Blue Water Internal Medicine, Pc is 1210 10th Ave, Port Huron, Michigan. For appointments, you can reach them via phone at (810) 622-3505. The mailing address for Blue Water Internal Medicine, Pc is 1210 10th Ave, Port Huron, Michigan and phone number is (810) 662-3505.

Blue Water Internal Medicine, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255967667. 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 (810) 622-3505.

Contact Information

	Blue Water Internal Medicine, Pc
	1210 10th Ave Port Huron MI 48060-3406
	(810) 622-3505
	(810) 662-3479

Map and Direction

Primary Care Clinic Profile

Full Name	Blue Water Internal Medicine, Pc
Speciality	Internal Medicine
Location	1210 10th Ave, Port Huron, Michigan
Authorized Official Name and Position	Nikki Hack (PRACTICE MANAGER)
Authorized Official Contact	8106623505
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blue Water Internal Medicine, Pc 1210 10th Ave Port Huron MI 48060-3406 Ph: (810) 662-3505	Blue Water Internal Medicine, Pc 1210 10th Ave Port Huron MI 48060-3406 Ph: (810) 622-3505

NPI Details:

NPI Number	1255967667
Provider Enumeration Date	03/17/2020
Last Update Date	11/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3577994490
Medicare Enrollment ID	O20200509000126

Medical Identifiers

Medical identifiers for Blue Water Internal Medicine, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255967667	NPI	-	NPPES
4301076169	Other	MI	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal 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. Blue Water Internal Medicine, Pc acts as a billing entity for following providers:

Provider Name	Emad Daher
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1265415285 PECOS PAC ID: 8022083104 Enrollment ID: I20040901000234

Reviews and Comments

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Blue Water Internal Medicine, Pc - Medicare Primary Care in Port Huron, MI