Ohana Medical Group Pllc is a medicare enrolled primary clinic (Family Medicine) in Portland, Michigan. The current practice location for Ohana Medical Group Pllc is 1218 E Grand River Ave, Portland, Michigan. For appointments, you can reach them via phone at
(517) 732-8877. The mailing address for Ohana Medical Group Pllc is 1218 E Grand River Ave, Portland, Michigan and phone number is (517) 732-8877.
Ohana Medical Group Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1497492706. 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
(517) 732-8877.
Primary Care Clinic Profile
| Full Name | Ohana Medical Group Pllc |
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| Speciality | Family Medicine |
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| Location | 1218 E Grand River Ave, Portland, Michigan |
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| Authorized Official Name and Position | Anthony L Sands (OWNER) |
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| Authorized Official Contact | 5176041095 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ohana Medical Group Pllc
1218 E Grand River Ave
Portland
MI 48875-1628
Ph: (517) 732-8877 | Ohana Medical Group Pllc
1218 E Grand River Ave
Portland
MI 48875-1628
Ph: (517) 732-8877 |
NPI Details:
| NPI Number | 1497492706 |
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| Provider Enumeration Date | 05/18/2022 |
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| Last Update Date | 11/09/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0547647901 |
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| Medicare Enrollment ID | O20220524002916 |
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Medical Identifiers
Medical identifiers for Ohana Medical Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497492706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Ohana Medical Group Pllc acts as a billing entity for following providers:
| Provider Name | Saba Haq |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1669460085
PECOS PAC ID: 4688684913
Enrollment ID: I20231012003387 |
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