Northern Lakes Integrated Health Clinic in Traverse City, MI

Northern Lakes Integrated Health Clinic is a medicare enrolled primary clinic (Clinic/center) in Traverse City, Michigan. The current practice location for Northern Lakes Integrated Health Clinic is 105 Hall St, Suite C, Traverse City, Michigan. For appointments, you can reach them via phone at (231) 935-3062. The mailing address for Northern Lakes Integrated Health Clinic is 105 Hall St, Suite C, Traverse City, Michigan and phone number is () -.

Northern Lakes Integrated Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417481136. 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 (231) 935-3062.

Contact Information

	Northern Lakes Integrated Health Clinic
	105 Hall St Suite C Traverse City MI 49684-2288
	(231) 935-3062
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Northern Lakes Integrated Health Clinic
Speciality	Clinic/Center
Location	105 Hall St, Traverse City, Michigan
Authorized Official Name and Position	Nancy Stevenson (COO)
Authorized Official Contact	2319224850
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Northern Lakes Integrated Health Clinic 105 Hall St Suite C Traverse City MI 49684-2288 Ph: () -	Northern Lakes Integrated Health Clinic 105 Hall St Suite C Traverse City MI 49684-2288 Ph: (231) 935-3062

NPI Details:

NPI Number	1417481136
Provider Enumeration Date	04/19/2017
Last Update Date	11/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8022921154
Medicare Enrollment ID	O20170602002042

Medical Identifiers

Medical identifiers for Northern Lakes Integrated Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417481136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. Northern Lakes Integrated Health Clinic acts as a billing entity for following providers:

Provider Name	Alexander Irving Cooper
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1912452731 PECOS PAC ID: 0749578698 Enrollment ID: I20161010002265

Reviews and Comments

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Northern Lakes Integrated Health Clinic - Medicare Primary Care in Traverse City, MI