Loon Lake Primary Care - Medicare Primary Care in Wixom, MI

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Loon Lake Primary Care is a medicare enrolled primary clinic (Family Medicine) in Wixom, Michigan. The current practice location for Loon Lake Primary Care is 1545 N Wixom Rd, Wixom, Michigan. For appointments, you can reach them via phone at (248) 833-6343. The mailing address for Loon Lake Primary Care is 1545 N Wixom Rd, Wixom, Michigan and phone number is (248) 833-6343.

Loon Lake Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326890666. 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 (248) 833-6343.

Contact Information

Loon Lake Primary Care
1545 N Wixom Rd
Wixom
MI 48393-1411
(248) 833-6343
(248) 833-6343

Map and Direction


Primary Care Clinic Profile

Full NameLoon Lake Primary Care
SpecialityFamily Medicine
Location1545 N Wixom Rd, Wixom, Michigan
Authorized Official Name and PositionPaul S Shabou (OWNER)
Authorized Official Contact2488336343
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Loon Lake Primary Care
1545 N Wixom Rd
Wixom
MI 48393-1411

Ph: (248) 833-6343		Loon Lake Primary Care
1545 N Wixom Rd
Wixom
MI 48393-1411

Ph: (248) 833-6343

NPI Details:

NPI Number1326890666
Provider Enumeration Date04/02/2024
Last Update Date05/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2264874403
Medicare Enrollment IDO20240520003466

Medical Identifiers

Medical identifiers for Loon Lake Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326890666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Loon Lake Primary Care acts as a billing entity for following providers:
Provider NameRony Shabou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982131355
PECOS PAC ID: 5193094217
Enrollment ID: I20200612002172
Provider NamePaul S Shabou
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346818846
PECOS PAC ID: 4587065628
Enrollment ID: I20240603002948

Reviews and Comments


Family Medicine in Wixom, MI

Responsive Visiting Physicians Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 49175 West Rd, Wixom, MI 48393
Phone: 248-487-8686    Fax: 248-694-2113
Trinity Medical Consultants Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 49175 West Rd, Wixom, MI 48393
Phone: 248-487-8686    

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.