Corewell Health Watervliet Hospital Southwestern Medical Multispecial - Medicare Primary Care in Niles, MI

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Corewell Health Watervliet Hospital Southwestern Medical Multispecial is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Niles, Michigan. The current practice location for Corewell Health Watervliet Hospital Southwestern Medical Multispecial is 2002 S 11th St, Niles, Michigan. For appointments, you can reach them via phone at (269) 687-0200. The mailing address for Corewell Health Watervliet Hospital Southwestern Medical Multispecial is 400 Medical Park Dr, Watervliet, Michigan and phone number is (269) 983-8300.

Corewell Health Watervliet Hospital Southwestern Medical Multispecial is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538592753. 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 (269) 687-0200.

Contact Information

Corewell Health Watervliet Hospital Southwestern Medical Multispecial
2002 S 11th St
Niles
MI 49120-4074
(269) 687-0200
(269) 684-0199

Map and Direction


Primary Care Clinic Profile

Full NameCorewell Health Watervliet Hospital Southwestern Medical Multispecial
SpecialityClinic/Center
Location2002 S 11th St, Niles, Michigan
Authorized Official Name and PositionMatthew Cox (CFO)
Authorized Official Contact6163910780
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corewell Health Watervliet Hospital Southwestern Medical Multispecial
400 Medical Park Dr
Watervliet
MI 49098-9225

Ph: (269) 983-8300		Corewell Health Watervliet Hospital Southwestern Medical Multispecial
2002 S 11th St
Niles
MI 49120-4074

Ph: (269) 687-0200

NPI Details:

NPI Number1538592753
Provider Enumeration Date08/12/2013
Last Update Date04/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7416942750
Medicare Enrollment IDO20131029002202

Medical Identifiers

Medical identifiers for Corewell Health Watervliet Hospital Southwestern Medical Multispecial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538592753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Corewell Health Watervliet Hospital Southwestern Medical Multispecial acts as a billing entity for following providers:
Provider NameDaniel Roger Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457389264
PECOS PAC ID: 3476515610
Enrollment ID: I20041101000238
Provider NameJonathan P Windeler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306890850
PECOS PAC ID: 7719931583
Enrollment ID: I20050304000644
Provider NameLois G Lello
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255367850
PECOS PAC ID: 7911934880
Enrollment ID: I20050721000919
Provider NameChristopher J Harvey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265460489
PECOS PAC ID: 0941230080
Enrollment ID: I20050817001080
Provider NameSunil P John
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306953542
PECOS PAC ID: 3375576762
Enrollment ID: I20050915000926
Provider NameLeanne Marie Miller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326077744
PECOS PAC ID: 9931121670
Enrollment ID: I20051222000311
Provider NameIan H Fox
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295743920
PECOS PAC ID: 8921021999
Enrollment ID: I20060105000651
Provider NameHeather Marie Adams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083692255
PECOS PAC ID: 7012911050
Enrollment ID: I20060906000499
Provider NameRex Benjamin Cabaltica
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942221494
PECOS PAC ID: 7911903984
Enrollment ID: I20061013000568
Provider NameDennis Fred Thompson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1659373256
PECOS PAC ID: 2769589753
Enrollment ID: I20070529000104
Provider NameLana K Gagin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669693487
PECOS PAC ID: 6305931353
Enrollment ID: I20071005000024
Provider NameJohn R Spriegel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235146721
PECOS PAC ID: 5496839128
Enrollment ID: I20080915000560
Provider NameShannon K Twiddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386899292
PECOS PAC ID: 9830235738
Enrollment ID: I20091007000190
Provider NameBrad S Ferrari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518995828
PECOS PAC ID: 2961545942
Enrollment ID: I20100130000358
Provider NameDaniel M Metzger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265478192
PECOS PAC ID: 1052495785
Enrollment ID: I20100205000471
Provider NameJoseph S Mashni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265424527
PECOS PAC ID: 1759439441
Enrollment ID: I20100521000384
Provider NameCharlotte Lofgren
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154529436
PECOS PAC ID: 6507054269
Enrollment ID: I20101221001161
Provider NameJonathan R Steen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750543849
PECOS PAC ID: 3072784404
Enrollment ID: I20110915000509
Provider NameLauren-shylene Luna Toscano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083960652
PECOS PAC ID: 3870743289
Enrollment ID: I20121020000044
Provider NameRuel R Lirio
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679561211
PECOS PAC ID: 9638346646
Enrollment ID: I20121212000537
Provider NameNancy Jo Fantetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891054458
PECOS PAC ID: 0244485639
Enrollment ID: I20130727000175
Provider NamePaul J Spilotro
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982823159
PECOS PAC ID: 9133363567
Enrollment ID: I20130924000933
Provider NameTodd W Haney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598198673
PECOS PAC ID: 7618102187
Enrollment ID: I20131109000234
Provider NameAaron Lanning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063831469
PECOS PAC ID: 0244453777
Enrollment ID: I20140602000196
Provider NameJennifer A Layman Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164764155
PECOS PAC ID: 1254412349
Enrollment ID: I20140717002386
Provider NameTobin Jay Klint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407260201
PECOS PAC ID: 7416175294
Enrollment ID: I20140820002683
Provider NameElizabeth A Mcglothlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124394945
PECOS PAC ID: 9931414000
Enrollment ID: I20150818005941
Provider NameAmanda Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174984413
PECOS PAC ID: 3870884810
Enrollment ID: I20160621002871
Provider NameJoan Zimmerman Madsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275988867
PECOS PAC ID: 6800187865
Enrollment ID: I20160622000558
Provider NameOlivia Cochran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184176786
PECOS PAC ID: 3274815840
Enrollment ID: I20170117001876
Provider NameJanelle M Cornforth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558801068
PECOS PAC ID: 5890062012
Enrollment ID: I20170518001510
Provider NameTanya Sobaski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205322534
PECOS PAC ID: 3870841885
Enrollment ID: I20180808001250
Provider NameRaul Hector Torres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982041620
PECOS PAC ID: 2163731373
Enrollment ID: I20181106002479
Provider NameDeanna Margaret Rucano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174011316
PECOS PAC ID: 0042554321
Enrollment ID: I20181128001543
Provider NamePaul Daniel Judge
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1184988685
PECOS PAC ID: 1456633296
Enrollment ID: I20190128000529
Provider NameErika Suzanne Nearpass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053725267
PECOS PAC ID: 8628387578
Enrollment ID: I20190821001085
Provider NameKathryn M Vera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861033599
PECOS PAC ID: 1557794948
Enrollment ID: I20191125001541
Provider NameBenjamin Erhardt
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1295096600
PECOS PAC ID: 6709011810
Enrollment ID: I20200910003234
Provider NameJames Strycker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134533565
PECOS PAC ID: 1254557804
Enrollment ID: I20201218001898
Provider NameSarah Hop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003303546
PECOS PAC ID: 1951706746
Enrollment ID: I20210817001473
Provider NameNatasha Victoria Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245803568
PECOS PAC ID: 8426453226
Enrollment ID: I20210817001871
Provider NameLuke William Linscheid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598495988
PECOS PAC ID: 2961884150
Enrollment ID: I20220804002040
Provider NameLindsey A Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114685807
PECOS PAC ID: 8628440849
Enrollment ID: I20230215002017
Provider NameAshley M Fugate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104281583
PECOS PAC ID: 6002115045
Enrollment ID: I20230221000406
Provider NameChelsea Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427769082
PECOS PAC ID: 2961876743
Enrollment ID: I20230317000510
Provider NameWilliam Ward
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689657785
PECOS PAC ID: 8022144047
Enrollment ID: I20230317001390
Provider NameDavid Mcintosh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770215428
PECOS PAC ID: 1658757208
Enrollment ID: I20230319000011
Provider NameLaura C Trail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548955412
PECOS PAC ID: 2466811856
Enrollment ID: I20230703001173
Provider NameGarrett Muhlstadt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609496686
PECOS PAC ID: 7517389877
Enrollment ID: I20230707003366
Provider NameMatthew W Globerson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1780112144
PECOS PAC ID: 3779850367
Enrollment ID: I20230724002952

Reviews and Comments


Clinic/Center in Niles, MI

Integrated Home Physicians Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120
Phone: 269-479-3030    Fax: 269-479-3032
George E. Drake, M.d., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 S 5th St, Niles, MI 49120
Phone: 269-687-9607    
Douglas Tacket Do Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120
Phone: 269-684-5002    
Lakeland Ear Nose & Throat
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120
Phone: 269-687-2910    Fax: 269-687-8770
Lakeland General Surgery
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120
Phone: 269-684-6696    Fax: 269-684-5286
Lakeland Comprehensive Weight Loss Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120
Phone: 269-687-4673    Fax: 269-687-1798
Glenda M Gensolin Md Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120
Phone: 269-683-0330    Fax: 269-684-0400

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.