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LAURA JEAN BALAVITCH-GOMEZ PA
NPI 1891901278
Physician Assistant - Medical in Clinton Twp, MI

Active since May 15, 2007PECOS Enrolled
36549 HARPER AVE, SUITE B, CLINTON TWP, MI 48035(586) 791-3150(586) 791-0409 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura Jean Balavitch-gomez Pa NPPES

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

LAURA JEAN BALAVITCH-GOMEZ PA (NPI 1891901278) is an individual medical provider in Clinton Twp, Michigan, licensed in Michigan (5601001632) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891901278
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURA JEAN BALAVITCH-GOMEZCredential: PA
Location Address36549 HARPER AVE, SUITE BClinton Twp, MI 48035-2012
Mailing Address36549 Harper Ave, Suite BClinton Twp, MI 48035-2012 · (586) 791-3150 · Fax (586) 791-0409
Phone(586) 791-3150
Fax(586) 791-0409
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891901278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601001632
36549 HARPER AVE, Clinton Twp, MI 48035
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Jean Balavitch-gomez Pa 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 2

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

DR. ALBERT ANTHONY PRZYBYLSKI D.O.
Family Medicine
36549 HARPER AVE, SUITE B
CLINTON TWP, MI 48035
Macomb County (586) 791-3150
ALBERT A. PRZYBYLSKI, D.O, PC
Family Medicine
36549 HARPER AVE, SUITE B
CLINTON TWP, MI 48035
Macomb County (586) 791-3150

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 Laura Balavitch-gomez's NPI number?

The NPI number for Laura Balavitch-gomez is 1891901278. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Laura Balavitch-gomez located?

Laura Balavitch-gomez practices at 36549 Harper Ave Suite B, Clinton Twp, MI 48035. The listed phone number is (586) 791-3150.

What is Laura Balavitch-gomez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laura Balavitch-gomez enrolled in Medicare?

Yes. Laura Balavitch-gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Balavitch-gomez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.