Dr Gomer Jeffrey Pound Jr, MD | |
274 E Chicago St, Coldwater, MI 49036-2041 | |
(517) 279-4425 | |
Not Available |
Full Name | Dr Gomer Jeffrey Pound Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 274 E Chicago St, Coldwater, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043260789 | NPI | - | NPPES |
4802400 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301050705 (Michigan) | Primary |
Entity Name | Coney Island Medical Practice Plan, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Mailing Address | Practice Location Address |
---|---|
Dr Gomer Jeffrey Pound Jr, MD 28 W Chicago St, Ste 2a, Coldwater, MI 49036-1677 Ph: (517) 279-4425 | Dr Gomer Jeffrey Pound Jr, MD 274 E Chicago St, Coldwater, MI 49036-2041 Ph: (517) 279-4425 |
Dr. Daniel E Knobloch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 605 W Chicago Rd Ste 2, Coldwater, MI 49036 Phone: 517-924-1444 Fax: 517-924-1445 | |
Dr. David Green, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 274 E Chicago St, Coldwater, MI 49036 Phone: 517-279-4425 | |
Dr. James P Dempsey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 274 E Chicago St, Coldwater, MI 49036 Phone: 517-279-4425 |