1. Home
  2. Directory
  3. Michigan
  4. Monroe
  5. Clinic Center
  6. NPI Profile

WESTERN LAKE ERIE OMS, PC
NPI 1629445986
Clinic/Center - Oral and Maxillofacial Surgery in Monroe, MI

Active since August 21, 2015
876 STEWART RD, #3, MONROE, MI 48162(734) 243-9160(734) 243-6393 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Western Lake Erie Oms, Pc NPPES

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

WESTERN LAKE ERIE OMS, PC (NPI 1629445986) is a healthcare organization registered as an oral and maxillofacial surgery in Monroe, Michigan and active in the NPI registry since August 2015. The organization lists Wendy Vore, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629445986
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameWESTERN LAKE ERIE OMS, PC
Location Address876 STEWART RD, #3Monroe, MI 48162-5345
Mailing Address876 Stewart Rd, #3Monroe, MI 48162-5345 · (734) 243-9160 · Fax (734) 243-6393
Phone(734) 243-9160
Fax(734) 243-6393
Organization SubpartNo
Authorized OfficialWendy VorePractice Administrator · (734) 243-9160
Enumeration DateAugust 21, 2015
Last NPPES UpdateJuly 31, 2019
✔ NPI 1629445986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
876 STEWART RD, Monroe, MI 48162
Open in Google Maps ↗

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 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)

Western Lake Erie Oms, Pc 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 Western Lake Erie Oms, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

James Mayer, D.D.S.
Maxillofacial Surgery
NPI 1891795233
4447 TALMADGE RD STE A
Toledo, OH 43623
(419) 479-3939
✔ PECOS✔ Accepts Medicare21 mi
Aaron Brinster, D.D.S. M.D.
Oral Surgery
NPI 1629393707
5690 MONROE ST
Sylvania, OH 43560
(419) 479-3939
✔ PECOS✔ Accepts Medicare21 mi
David Shall, D.D.S., MD
Maxillofacial Surgery
NPI 1194968347
5690 MONROE ST
Sylvania, OH 43560
(419) 479-3939
✔ PECOS✔ Accepts Medicare21 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 Western Lake Erie Oms, PC's NPI number?

The NPI number for Western Lake Erie Oms, PC is 1629445986. It was assigned to this organization in the NPPES registry on August 21, 2015.

Where is Western Lake Erie Oms, PC located?

Western Lake Erie Oms, PC is located at 876 Stewart Rd #3, Monroe, MI 48162. The listed phone number is (734) 243-9160.

What is Western Lake Erie Oms, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Western Lake Erie Oms, PC enrolled in Medicare?

Yes. Western Lake Erie Oms, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Lake Erie Oms, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Western Lake Erie Oms, PC, in Maxillofacial Surgery and Oral Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Lake Erie Oms, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Western Lake Erie Oms, 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 Western Lake Erie Oms, PC was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.