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LAKESHORE FAMILY CARE, PC
NPI 1356472872
Family Medicine in Manistee, MI

Active since March 08, 2007
72 FILER ST, MANISTEE, MI 49660(231) 723-5600(231) 723-1048 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Family Care, Pc NPPES

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

LAKESHORE FAMILY CARE, PC (NPI 1356472872) is a healthcare organization registered as a family medicine in Manistee, Michigan and active in the NPI registry since March 2007. The organization lists Paul Joseph Antal, President, as its authorized official.

NPPES Registry Identity

NPI1356472872
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE FAMILY CARE, PC
Location Address72 FILER STManistee, MI 49660-2717
Mailing Address72 Filer StManistee, MI 49660-2717 · (231) 723-5600 · Fax (231) 723-1048
Phone(231) 723-5600
Fax(231) 723-1048
Organization SubpartNo
Authorized OfficialPaul Joseph AntalPresident · (231) 723-5600
Enumeration DateMarch 8, 2007
Last NPPES UpdateOctober 17, 2007
✔ NPI 1356472872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
72 FILER ST, Manistee, MI 49660
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Other Identifiers 3

Medicaid3353612MI
Medicaid4612281MI
Medicare ID-Type Unspecified0N22060MI

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)

Lakeshore Family Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeshore Family Care, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Paul Antal, M.D.
Family Practice
NPI 1295845469
72 FILER ST
Manistee, MI 49660
(231) 723-5600
✔ PECOS✔ Accepts MedicareSame address
Jacob Deboni, FNP
Nurse Practitioner
NPI 1578036091
72 FILER ST
Manistee, MI 49660
(231) 723-5600
✔ 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 Lakeshore Family Care, PC's NPI number?

The NPI number for Lakeshore Family Care, PC is 1356472872. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Lakeshore Family Care, PC located?

Lakeshore Family Care, PC is located at 72 Filer St, Manistee, MI 49660. The listed phone number is (231) 723-5600.

What is Lakeshore Family Care, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lakeshore Family Care, PC enrolled in Medicare?

Yes. Lakeshore Family Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Family Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeshore Family Care, PC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Family Care, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Family Care, PC 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 Lakeshore Family Care, PC was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.