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EDINA GEGIC LMSW
NPI 1720467673
Case Manager/Care Coordinator in Sterling Heights, MI

Active since May 26, 2015PECOS Enrolled
13632 CLINTON RIVER RD, STERLING HEIGHTS, MI 48313(586) 461-8408 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edina Gegic Lmsw NPPES

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

EDINA GEGIC LMSW (NPI 1720467673) is an individual case manager/care coordinator provider in Sterling Heights, Michigan, licensed in Michigan (6801091084) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720467673
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEDINA GEGICCredential: LMSW
Location Address13632 CLINTON RIVER RDSterling Heights, MI 48313-5417
Mailing Address13632 Clinton River RdSterling Heights, MI 48313-5417
Phone(586) 461-8408
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 26, 2015
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1720467673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in MI · 6801091084
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
13632 CLINTON RIVER RD, Sterling Heights, MI 48313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edina Gegic Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42789497
PECOS Enrollment IDI20260515000414
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edina Gegic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Easterseals Morc Health Care, Inc.
14 mi
Psychiatry
2399 E WALTON BLVD
Auburn Hills, MI 48326
  • Reassigned Medicare billing, Michigan enrollment
  • 253 clinicians in this Medicare group
NPI 1376526616 (248) 475-6400

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 Edina Gegic's NPI number?

The NPI number for Edina Gegic is 1720467673. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Edina Gegic located?

Edina Gegic practices at 13632 Clinton River Rd, Sterling Heights, MI 48313. The listed phone number is (586) 461-8408.

What is Edina Gegic's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Edina Gegic enrolled in Medicare?

Yes. Edina Gegic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edina Gegic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edina Gegic reassigns Medicare benefits to Easterseals Morc Health Care, Inc. (Auburn Hills, MI). The 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 Edina Gegic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edina Gegic accept?

Health plans from Oscar Insurance Company and Priority Health list Edina Gegic 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 Edina Gegic was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.