- Medicare Primary Care in Houghton Lake, MI

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Houghton Lake, Michigan. The current practice location for is 9249 W Lake City Rd, Houghton Lake, Michigan. For appointments, you can reach them via phone at (989) 422-5122. The mailing address for is 9249 W Lake City Rd, Houghton Lake, Michigan and phone number is (989) 422-5122.

is licensed to practice in Michigan (license number 4301068191). The clinic also participates in the medicare program and its NPI number is 1912998287. 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 (989) 422-5122.

Contact Information

9249 W Lake City Rd
Houghton Lake
MI 48629-9602
(989) 422-5122
(989) 422-6838

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location9249 W Lake City Rd, Houghton Lake, Michigan
Authorized Official Name and PositionJames P. Raschke (EXECUTIVE DIRECTOR)
Authorized Official Contact9894225122
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

9249 W Lake City Rd
Houghton Lake
MI 48629-9602

Ph: (989) 422-5122
9249 W Lake City Rd
Houghton Lake
MI 48629-9602

Ph: (989) 422-5122

NPI Details:

NPI Number1912998287
Provider Enumeration Date11/04/2005
Last Update Date04/22/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7911800495
Medicare Enrollment IDO20040130001007

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912998287NPI-NPPES
18009OtherMIBCBSM FACILITY CODE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 4301068191 (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 NameRoberto A Viguilla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013992536
PECOS PAC ID: 1658388541
Enrollment ID: I20060317000382
Provider NameKevin T Denlinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487638300
PECOS PAC ID: 2466457841
Enrollment ID: I20060918000253
Provider NameConstance S Geers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639155229
PECOS PAC ID: 0143225383
Enrollment ID: I20060922000086
Provider NameStacey R Gedeon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336172485
PECOS PAC ID: 8820162878
Enrollment ID: I20080808000437
Provider NameLisa A Harrington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588651269
PECOS PAC ID: 3375530082
Enrollment ID: I20100220000251
Provider NameHayley M Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942519525
PECOS PAC ID: 4183806292
Enrollment ID: I20110310000864
Provider NameLindsey Derousse
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154728889
PECOS PAC ID: 0143548867
Enrollment ID: I20150409000867
Provider NameRobert Patrick Mcmorrow
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093027013
PECOS PAC ID: 6608000708
Enrollment ID: I20150629002584
Provider NameDeborah L Maurer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629432703
PECOS PAC ID: 4183913338
Enrollment ID: I20160511002630
Provider NameStacey A Williamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548528086
PECOS PAC ID: 1951541978
Enrollment ID: I20161024000254
Provider NameCharity A Caverly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396289492
PECOS PAC ID: 4789965922
Enrollment ID: I20170103000302
Provider NameApril M North
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467498808
PECOS PAC ID: 4789695594
Enrollment ID: I20171019001163
Provider NameMistey Rayl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992202873
PECOS PAC ID: 8022364744
Enrollment ID: I20180710002435
Provider NameLyndsy J Mcmorrow
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023338316
PECOS PAC ID: 1951541366
Enrollment ID: I20190927002307
Provider NameLori A Tetu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639710890
PECOS PAC ID: 3779910328
Enrollment ID: I20200221000064
Provider NameErin R Booms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518599307
PECOS PAC ID: 7214367259
Enrollment ID: I20200415001837
Provider NameAbby Wells Hunter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366077737
PECOS PAC ID: 0042641821
Enrollment ID: I20200511003229
Provider NameCara L Crawford-bartle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982139382
PECOS PAC ID: 4082966486
Enrollment ID: I20200811003320
Provider NameDanielle R Mcauley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548832124
PECOS PAC ID: 7810395514
Enrollment ID: I20211011002312
Provider NameAllison M Forbes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215689468
PECOS PAC ID: 5092100099
Enrollment ID: I20220309001243
Provider NameHeidi L Sura
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801490727
PECOS PAC ID: 4688026552
Enrollment ID: I20240116002847
Provider NameHannah E Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164281937
PECOS PAC ID: 4880136514
Enrollment ID: I20240610000129
Provider NameLibby P Tharp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942040217
PECOS PAC ID: 2163961913
Enrollment ID: I20240826001496
Provider NameWesley Michael Clark Paul
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467078576
PECOS PAC ID: 5698197390
Enrollment ID: I20241014000841
Provider NameAmy R Brockschmidt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023453040
PECOS PAC ID: 5597299404
Enrollment ID: I20241114003972
Provider NameHannah Leahy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427890052
PECOS PAC ID: 4385170901
Enrollment ID: I20241205004250

Reviews and Comments


Clinic/Center in Houghton Lake, MI


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4433 W Houghton Lake Dr, Houghton Lake, MI 48629
Phone: 989-366-2003    Fax: 989-422-4378

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.