Address Healthcare Of Michigan Pllc is a
Internal Medicine based in Grand Rapids, Michigan. Address Healthcare Of Michigan Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
600 Monroe Avenue Nw, Ste 104, Grand Rapids, Michigan. It can be reached at their office (for appointments etc.) via phone at
(616) 366-4234.
NPI number for Address Healthcare Of Michigan Pllc is 1043075294 and their current mailing address is 6804 Cecelia Drive, New Port Richey, Florida. Address Healthcare Of Michigan Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043075294.
Healthcare Provider's Profile
Full Name | Address Healthcare Of Michigan Pllc |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 600 Monroe Avenue Nw, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043075294
- Provider Enumeration Date: 02/16/2024
- Last Update Date: 02/16/2024
Medical Identifiers
Medical identifiers for Address Healthcare Of Michigan Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043075294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Address Healthcare Of Michigan Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Address Healthcare Of Michigan Pllc 6804 Cecelia Drive, New Port Richey, FL 34653 Ph: (616) 366-4234 | Address Healthcare Of Michigan Pllc 600 Monroe Avenue Nw, Ste 104, Grand Rapids, MI 49503-1470 Ph: (616) 366-4234 |
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