OrganizationNorthwestern Michigan Emergency Physicians PcEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1105 6th St, Traverse City, MI 49684-2349(231) 218-1310PECOS EnrollmentBased on the most recent information from CMS, provider Northwestern Michigan Emergency Physicians Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1073597944Provider TypeOrganizationFull NameNorthwestern Michigan Emergency Physicians PcSubpartNoEnumeration Date12/2/2005Last Updated10/10/2023Contact InformationPractice LocationPractice Address1105 6th St, Traverse City, MI 49684-2349Phone(231) 218-1310Fax(801) 740-2847Mailing LocationMailing AddressPO Box 72231, Cleveland, OH 44192-0002Phone(231) 218-1310Fax(801) 740-2847Authorized OfficialNameKaehler, Yvonne E (Adminstrator)Phone(231) 218-1310Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense3MichiganProvider IdentifiersIDDescriptionIssuerID010B860320DescriptionOtherIssuerBCBSMichiganIDCA0617DescriptionOtherIssuerRAILROAD MEDICARE GROUPMichigan