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GREAT LAKES SPINE AND MEDICAL PLLC
NPI 1336847730
Durable Medical Equipment & Medical Supplies in Saginaw, MI

Active since February 16, 2023
4266 STATE ST, SAGINAW, MI 48603(989) 792-6702(989) 792-1128 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great Lakes Spine And Medical Pllc NPPES

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

GREAT LAKES SPINE AND MEDICAL PLLC (NPI 1336847730) is a healthcare organization registered as a durable medical equipment & medical supplies in Saginaw, Michigan and active in the NPI registry since February 2023. The organization lists Jeffrey A Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1336847730
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES SPINE AND MEDICAL PLLC
Location Address4266 STATE STSaginaw, MI 48603-4035
Mailing Address4266 State StSaginaw, MI 48603-4035 · (989) 792-6702 · Fax (989) 792-1128
Phone(989) 792-6702
Fax(989) 792-1128
Organization SubpartNo
Authorized OfficialJeffrey A KellyOwner · (989) 792-6702
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1336847730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4266 STATE ST, Saginaw, MI 48603
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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 Spine And Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Great Lakes Spine And Medical PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Alexander Dalton, D.C.
Chiropractic
NPI 1780033506
4266 STATE ST
Saginaw, MI 48603
(989) 792-6702
✔ Accepts MedicareSame address
Jeffrey Kelly, D.C.
Chiropractic
NPI 1932159928
4266 STATE ST
Saginaw, MI 48603
(989) 792-6702
Same address
Christopher Stevenson, D.C.
Chiropractic
NPI 1043050669
4266 STATE ST
Saginaw, MI 48603
(989) 792-6702
✔ Accepts MedicareSame address
Jorge Plasencia, M.D.
Family Practice
NPI 1760466346
4705 TOWNE CTR SUITE 202
Saginaw, MI 48604
(989) 791-3401
✔ PECOS✔ Accepts Medicare3.3 mi
Lorenzo Berlanga, M.D.
Family Practice
NPI 1063487411
4800 N SAGINAW RD
Midland, MI 48640
(989) 839-9937
✔ PECOS✔ Accepts Medicare20 mi
Richard Szagesh, DC
Chiropractic
NPI 1033179148
1331 E GRAND RIVER AVE STE 203
East Lansing, MI 48823
(989) 835-2200
✔ Accepts Medicare54 mi
Kevin Homer, DC
Chiropractic
NPI 1801841846
7180 DIXIE HWY
Clarkston, MI 48346
(248) 625-7690
✔ Accepts Medicare57 mi
Konnor Hunt, DC
Chiropractic
NPI 1851052716
50 N M 37 HWY STE B
Hastings, MI 49058
(269) 400-6650
✔ Accepts Medicare89 mi

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 Spine And Medical PLLC's NPI number?

The NPI number for Great Lakes Spine And Medical PLLC is 1336847730. It was assigned to this organization in the NPPES registry on February 16, 2023.

Where is Great Lakes Spine And Medical PLLC located?

Great Lakes Spine And Medical PLLC is located at 4266 State St, Saginaw, MI 48603. The listed phone number is (989) 792-6702.

What is Great Lakes Spine And Medical PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Great Lakes Spine And Medical PLLC enrolled in Medicare?

Yes. Great Lakes Spine And Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Spine And Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Lakes Spine And Medical 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. The largest specialties are Chiropractic (6) and Family Practice (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Lakes Spine And Medical PLLC was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.