OrganizationInterlochen Emergency Group, P.C.Emergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1105 6th St, Traverse City, MI 49684-2386(231) 935-5000(800) 893-9698PECOS EnrollmentBased on the most recent information from CMS, provider Interlochen Emergency Group, P.C. 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 ID1336821495Provider TypeOrganizationFull NameInterlochen Emergency Group, P.C.SubpartNoEnumeration Date8/7/2023Last Updated8/7/2023Contact InformationPractice LocationPractice Address1105 6th St, Traverse City, MI 49684-2386Phone(231) 935-5000FaxUnlisted FaxMailing LocationMailing Address200 Corporate Blvd, Lafayette, LA 70508-3870Phone(800) 893-9698FaxUnlisted FaxAuthorized OfficialNameSchillinger, David (President/Owner)Phone(337) 609-1221Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer