| Dr Benjamin Daniel Tift, DO | |
|
15100 Whittaker Way, Grand Haven, MI 49417-8696 | |
| (616) 935-6300 | |
| Not Available |
| Full Name | Dr Benjamin Daniel Tift |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 15100 Whittaker Way, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780265561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101027808 (Michigan) | Primary |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Daniel Tift, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Benjamin Daniel Tift, DO 15100 Whittaker Way, Grand Haven, MI 49417-8696 Ph: (616) 935-6300 |
Lindsay Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Tarin Lee Devoursney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Kira Rae Sieplinga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Dr. Angela K Tallon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 Wisconsin St Ste 204, Grand Haven, MI 49417 Phone: 616-844-4523 | |
Michelle Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Julia Kathryn Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 |