Concierge Dermatology & Skin Surgery Center
NPI 1417442898 · MOHS-Micrographic Surgery Physician · Hancock, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Concierge Dermatology & Skin Surgery Center is a MOHS-Micrographic Surgery Physician organization in Hancock, MI (NPI 1417442898).
Provider details
- NPI number
- 1417442898
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mercy Odueyungbo, Authorized Official(906) 362-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 710 S Lincoln RdEscanaba, MI 49829-1292Phone: (906) 362-7546Fax: (413) 269-8079
- 18341 US Highway 41Lanse, MI 49946-8024Phone: (906) 362-7546Fax: (413) 269-8079
- 1500 Sandpoint RdMunising, MI 49862-1406Phone: (709) 833-9990
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-10-31
Frequently asked questions
- What is Concierge Dermatology & Skin Surgery Center's NPI number?
- Concierge Dermatology & Skin Surgery Center's National Provider Identifier (NPI) is 1417442898, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concierge Dermatology & Skin Surgery Center?
- Concierge Dermatology & Skin Surgery Center is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Concierge Dermatology & Skin Surgery Center located?
- Concierge Dermatology & Skin Surgery Center's practice location on file with NPPES is 500 Campus Dr, Hancock, MI 49930.
- What is Concierge Dermatology & Skin Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Concierge Dermatology & Skin Surgery Center is (906) 362-7546.
- Does Concierge Dermatology & Skin Surgery Center accept Medicare?
- Concierge Dermatology & Skin Surgery Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Concierge Dermatology & Skin Surgery Center?
- The authorized official listed on Concierge Dermatology & Skin Surgery Center's NPPES record is Mercy Odueyungbo, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concierge Dermatology & Skin Surgery Center's NPI active?
- Yes — Concierge Dermatology & Skin Surgery Center's NPI (1417442898) is active in the NPPES registry as of the last update on 2018-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.