HARBORSIDE SPINE & SPORTS CENTER
NPI 1457544017
Physical Medicine & Rehabilitation in Petoskey, MI
About Harborside Spine & Sports Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARBORSIDE SPINE & SPORTS CENTER (NPI 1457544017) is a healthcare organization registered as a physical medicine & rehabilitation in Petoskey, Michigan and active in the NPI registry since August 2007. The organization maintains a secondary practice location in Gaylord and lists Shelly Genschaw, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Harborside Spine & Sports Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Harborside Spine & Sports Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Eugene P Wang, Do PC's NPI number?
The NPI number for Eugene P Wang, Do PC is 1457544017. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is doing business as Harborside Spine & Sports Center.
Where is Eugene P Wang, Do PC located?
Eugene P Wang, Do PC is located at 2375 Summit Park Dr, Petoskey, MI 49770. The listed phone number is (231) 348-3283.
What is Eugene P Wang, Do PC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Eugene P Wang, Do PC enrolled in Medicare?
Yes. Eugene P Wang, Do PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eugene P Wang, Do PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Eugene P Wang, Do PC. 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 Physical Medicine and Rehabilitation (3) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eugene P Wang, Do PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eugene P Wang, Do 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 Eugene P Wang, Do PC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.