BRENT MICHAEL MAZE (PAC) – Physician Assistant, NPI 1366424665

BRENT MICHAEL MAZE (PAC) is a healthcare provider. based in Saginaw, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 5601004410 (MI). The NPI Number for BRENT MICHAEL MAZE (PAC) is 1366424665

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BRENT MICHAEL MAZE (PAC)
NPI
1366424665
Phone
(989) 759-6464
Address
501 LAPEER
Enumeration Date
14 November 2005
Last Update Date
9 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897536000
Graduation Year
2004 (22 years ago)
PAC ID
5496710717
Group Practice PAC ID
2466369046
Professional Enrollment ID
I20041129000775
Address ID
MI486071203SA501XXAVEX300

Contacts

Secure Messaging
brent.maze@direct.medfusion.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for BRENT MICHAEL MAZE (PAC)

  • David R. Gamez Community Health Center, 501, Lapeer Avenue, Saginaw, Saginaw County, Michigan, 48607, United States

    SAGINAW, MI 486071208

    Phone: (989) 759-6464

    Fax: (989) 399-8233

    Type: Mailing

  • 3884, Monitor Road, Kawkawlin, Monitor Township, Bay County, Michigan, 48706, United States

    BAY CITY, MI 487069298

    Phone: (989) 671-2000

    Fax: (989) 671-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($24).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041129000775IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument5022$0
83036Hemoglobin a1c level3824$0
82044Urine microalbumin (protein) analysis1817$0
82570Creatinine level to test for kidney function or muscle injury1616$0
View full utilization report →

Insurance plans in this area (ZIP 48607)

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Provider's Procedures

BRENT MICHAEL MAZE (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI83036Hemoglobin A1C level6138

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466369046View full group profile
NameSpecialtyState
Family PracticeMI
-MI
-MI
-MI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Is there an official ID for BRENT MICHAEL MAZE (PAC) in U.S. healthcare records?
The official identifier for BRENT MICHAEL MAZE (PAC) is NPI 1366424665.
Active or inactive — what applies to BRENT MICHAEL MAZE (PAC)?
You should see BRENT MICHAEL MAZE (PAC) as active in CMS-hosted NPPES data.
How would a patient describe BRENT MICHAEL MAZE (PAC)'s focus?
For BRENT MICHAEL MAZE (PAC), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with BRENT MICHAEL MAZE (PAC)?
Directory geography for BRENT MICHAEL MAZE (PAC) centers on Saginaw, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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