Great Lakes Surgery Center Llc

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NPI Number Detailed Information

Provider Information:

Name:	Great Lakes Surgery Center Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI:	1003273129
Entity Type (Individual or Organization):	2-org
Enumeration Date:	1/20/2016
Last Update Date:	11/12/2021

Provider Business Mailing Address:

Address:	2848 NILES RD SUITE B Saint Joseph, MI 49085
Phone Number:	2694283304
Fax Number:

Provider Business Practice Location Address:

Address:	2848 NILES RD SUITE B Saint Joseph, MI 49085
Phone Number:	2694283304
Fax Number:

Provider Taxonomy:

Primary:	261QS0132X
Secondary (if any):	261QA1903X
State:	MI

Top Doctors in MI

About Great Lakes Surgery Center Llc

Great Lakes Surgery Center Llc ( GREAT LAKES SURGERY CENTER LLC ) is Definition Clinic/Center Provider in Saint Joseph, MI. The NPI Number for Great Lakes Surgery Center Llc is 1003273129.

The current location address for Great Lakes Surgery Center Llc is 2848 NILES RD SUITE B Saint Joseph, MI 49085 and the contact number is 2694283304 and fax number is . The mailing address for Great Lakes Surgery Center Llc is 2848 NILES RD SUITE B Saint Joseph, MI 49085- 2694283304 (mailing address contact number - 2694283304).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Great Lakes Surgery Center Llc ?

Answer: The NPI Number for Great Lakes Surgery Center Llc is 1003273129

Where is Great Lakes Surgery Center Llc located?

Answer: Great Lakes Surgery Center Llc is located at 2848 NILES RD SUITE B Saint Joseph, MI 49085.

What is the specialty for Great Lakes Surgery Center Llc ?

Answer: The Specialty of Great Lakes Surgery Center Llc is Definition Clinic/Center Provider.

Are there any online reviews for Great Lakes Surgery Center Llc ?

Answer: Not yet!

Are there any other health care providers in Saint Joseph, MI?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Great Lakes Surgery Center Llc

Number of HCPCS	66
Number of Medicare Beneficiaries	1193
Number of Services	1960
Total Submitted Charge Amount	3424812
Total Medicare Allowed Amount	1556485.1
Total Medicare Payment Amount	1233041.82
Total Medicare Standardized Payment Amount	1327598.14
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	66
Number of Medicare Beneficiaries With Medical	1193
Number of Medical Services	1960
Total Medical Submitted Charge Amount	3424812
Total Medical Medicare Allowed Amount	1556485.1
Total Medical Medicare Payment Amount	1233041.82
Total Medical Medicare Standardized Payment Amount	1327598.14
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	35
Number of Beneficiaries Age 65 to 74	571
Number of Beneficiaries Age 75 to 84	445
Number of Beneficiaries Age Greater 84	142
Number of Female Beneficiaries	724
Number of Male Beneficiaries	469
Number of Non-Hispanic White Beneficiaries	1081
Number of Black or African American Beneficiaries	43
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	15
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified	34
Number of Beneficiaries With Medicare & Medicaid Entitlement	93
Number of Beneficiaries With Medicare Only Entitlement	1100
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.07
Percent (%) of Beneficiaries Identified With Asthma	0.04
Percent (%) of Beneficiaries Identified With Cancer	0.1
Percent (%) of Beneficiaries Identified With Heart Failure	0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.11
Percent (%) of Beneficiaries Identified With Depression	0.19
Percent (%) of Beneficiaries Identified With Diabetes	0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.58
Percent (%) of Beneficiaries Identified With Hypertension	0.64
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.29
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.01
Percent (%) of Beneficiaries Identified With Stroke	0.03
Average HCC Risk Score of Beneficiaries	1.0518

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Address: 807 NAPIER AVE Saint Joseph, MI 49085 , Phone: 2699834802

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Address: 1600 NILES AVE Saint Joseph, MI 49085 , Phone: 2699831812

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Address: 2920 DIVISION ST Saint Joseph, MI 49085 , Phone: 2699827844

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Dr. John Marion Kim
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Mr. Denis Laurel Gibbs
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Dr. Michael W Clark
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Address: 1234 NAPIER AVE Saint Joseph, MI 49085 , Phone: 2699854632

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Address: 1234 NAPIER AVE Saint Joseph, MI 49085 , Phone: 2699824861

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Address: 1234 NAPIER AVE Saint Joseph, MI 49085 , Phone: 2694711700

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Address: 1234 NAPIER AVE Saint Joseph, MI 49085 , Phone: 2699838300

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