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GREAT LAKES PODIATRY PLLC
NPI 1225079932
Podiatrist in Escanaba, MI

Active since June 10, 2006
126 S 25TH ST, SUITE A, ESCANABA, MI 49829(906) 786-2385(906) 789-4445 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Podiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PODIATRY PLLC (NPI 1225079932) is a healthcare organization registered as a podiatrist in Escanaba, Michigan and active in the NPI registry since June 2006. The organization lists Mary Pat Leveille, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1225079932
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGREAT LAKES PODIATRY PLLC
Location Address126 S 25TH ST, SUITE AEscanaba, MI 49829-1364
Mailing Address126 S 25th St Ste AEscanaba, MI 49829-1364 · (906) 786-2385 · Fax (877) 276-3960
Phone(906) 786-2385
Fax(906) 789-4445
Organization SubpartNo
Authorized OfficialMary Pat LeveillePractice Manager · (906) 280-5396
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1225079932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
126 S 25TH ST, Escanaba, MI 49829
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Other Identifiers 1

Medicaid4729159MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Great Lakes Podiatry PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dennis Leveille, DPM
Podiatry
NPI 1982696209
126 S 25TH ST SUITE A
Escanaba, MI 49829
(906) 786-2385
✔ PECOS✔ Accepts MedicareSame address
Jake Eisenschink, DPM
Podiatry
NPI 1194286997
126 S 25TH ST STE A
Escanaba, MI 49829
(906) 786-2385
✔ PECOS✔ Accepts MedicareSame address
Rachelle Leveille, DPM
Podiatry
NPI 1629631965
126 S 25TH ST STE A
Escanaba, MI 49829
(906) 786-2385
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Podiatry PLLC's NPI number?

The NPI number for Great Lakes Podiatry PLLC is 1225079932. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Great Lakes Podiatry PLLC located?

Great Lakes Podiatry PLLC is located at 126 S 25th St Suite A, Escanaba, MI 49829. The listed phone number is (906) 786-2385.

What is Great Lakes Podiatry PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Great Lakes Podiatry PLLC enrolled in Medicare?

Yes. Great Lakes Podiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Podiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Great Lakes Podiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Podiatry PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Podiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Podiatry PLLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.