Great Lakes Orthopaedic Center, P.c.
Orthopaedic Surgery
4045 W Royal Dr, Traverse City
Michigan, 49684-8965
231-935-0900 231-935-0308
Great Lakes Orthopaedic Center, P.c. is a Orthopaedic Surgery in Traverse City, Michigan. It is located at 4045 W Royal Dr, Traverse City and it's customer support contact number is 231-935-0900. The authorized person of Great Lakes Orthopaedic Center, P.c. is Chrissy Durga who is Administrator of this DME and his contact number is 231-929-5734. Great Lakes Orthopaedic Center, P.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Great Lakes Orthopaedic Center, P.c. is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
DME Supplier Details:
Great Lakes Orthopaedic Center, P.c. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Great Lakes Orthopaedic Center, P.c. |
| Type: | Orthopaedic Surgery |
| Location: | 4045 W Royal Dr, Traverse City,
Michigan, 49684-8965 |
| Phone: | 231-935-0900 |
| Fax: | 231-935-0308 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Chrissy Durga |
| Position: | Administrator |
| Contact Number: | 231-929-5734 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1952323453 |
| NPI Enumeration Date: | 24 Jul, 2006 |
| NPI Last Update On: | 22 Oct, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Orthopaedic Center, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200B811700 | Other | Michigan | Blue Cross Blue Shield Group Id # |
Medicare Enrollment:
Great Lakes Orthopaedic Center, P.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1759371826 | O20040512001442 | Great Lakes Orthopaedic Center Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1759371826 | O20041119000606 | Great Lakes Orthopaedic Center Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1759371826 | O20100930005995 | Great Lakes Orthopaedic Center Pc | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4045 W Royal Dr,
Traverse City, Michigan |
| Zip: | 49684-8965 |
| Phone Number: | 231-935-0900 |
| Fax Number: | 231-935-0308 |
Patients can reach Great Lakes Orthopaedic Center, P.c. at
4045 W Royal Dr, Traverse City, Michigan or can
call on customer care at 231-935-0900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.