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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WILFRED VINCENT PACATANG DO
NPI 1780475988
Student in an Organized Health Care Education/Training Program in Petoskey, MI

Active since May 15, 2025PECOS Enrolled
416 CONNABLE AVE, PETOSKEY, MI 49770(231) 487-7988(231) 487-7188 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Jun 20, 2025, May 15, 2025 (3 updates tracked since 2025).

About Dr. Wilfred Vincent Pacatang Do NPPES

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

DR. WILFRED VINCENT PACATANG DO (NPI 1780475988) is an individual student in an organized health care education/training program in Petoskey, Michigan, licensed in Michigan (5151017321) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Petoskey.

NPPES Registry Identity

NPI1780475988
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILFRED VINCENT PACATANGCredential: DO
Location Address416 CONNABLE AVEPetoskey, MI 49770-2212
Mailing Address416 Connable AvePetoskey, MI 49770-2212 · (231) 487-7988 · Fax (231) 487-7188
Phone(231) 487-7988
Fax(231) 487-7188
Sole ProprietorNo
Enumeration DateMay 15, 2025
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1780475988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5151017321
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
416 CONNABLE AVE, Petoskey, MI 49770
Open in Google Maps ↗

Secondary Practice Location 1

Location 1416 Connable AvePetoskey, MI 49770-2212 · Phone (231) 487-7988

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilfred Vincent Pacatang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEELY MARIE BLOSH NP
Nurse Practitioner
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
GARY H SHAW M.D.
Internal Medicine (Nephrology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-7303
BAY RADIATION ONCOLOGY, PLLC
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4209
DR. JANEAN HAGGINS-DABNEY M.D.
Internal Medicine
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 922-9270
MCLAREN NORTHERN MICHIGAN
Psychiatric Unit
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
LYNDA BARTOSH RTRM, RPA
Radiology Practitioner Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
NATALIA I RUSH MD PC
Pathology (Anatomic Pathology & Clinical Pathology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
DR. MARK JAMES BIELACZYC M.D.
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 348-2795

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 Wilfred Vincent Pacatang's NPI number?

The NPI number for Wilfred Vincent Pacatang is 1780475988. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Wilfred Vincent Pacatang located?

Wilfred Vincent Pacatang practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 487-7988.

What is Wilfred Vincent Pacatang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wilfred Vincent Pacatang enrolled in Medicare?

Yes. Wilfred Vincent Pacatang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wilfred Vincent Pacatang was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.