1105 6TH ST
TRAVERSE CITY, MI 49684-2345 US PECOS Enrolled
Laura Joan Gottfried
Disease Pathologist
- TRAVERSE CITY, MI
- Phone: (231)-935-0499
- Last Updated 9/18/2023
Overview
Laura Joan Gottfried is a Disease Pathologist in the TRAVERSE CITY area and has over 33 years of experience. Laura Joan Gottfried primary office location is at 1105 6TH ST and new patients are welcome to contact this healthcare provider for an appointment. She attended Wayne State University School Of Medicine and graduated 1991
Laura Joan Gottfried is affiliated with five hospitals in the TRAVERSE CITY area, including CHARLEVOIX AREA HOSPITAL. The NPI number is 1205850088 and the information was updated approximately 1 year ago.
Laura Joan Gottfried is affiliated with one medical group in the TRAVERSE CITY area, GRAND TRAVERSE PATHOLOGY, PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4301057575 | MI |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 4110029 | MI |
| RAILROAD MEDICARE | 220025505 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Disease Pathologist - Taxonomy Code 207ZP0102X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100818000243 |
| PECOS Individual PAC ID: | 4385718246 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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