| Brent Veerman, | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Brent Veerman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225602329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301510146 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 77352 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Lakeshore Campus | Shelby, MI | Hospital |
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Michigan Emergency Specialists, Pllc | 0749569242 | 33 |
| Grand River Emergency Medical Group Plc | 3274425905 | 34 |
| Entity Name | Grand River Emergency Medical Group Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
| Entity Name | Lake Michigan Emergency Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Lake Michigan Observation Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Veerman, 1424 Tamarack Ave Nw, Grand Rapids, MI 49504-3039 Ph: (614) 361-9813 | Brent Veerman, 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (928) 537-4375 |
Travis Wade Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 | |
Bruce A Hall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Philip L Johnson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Cameron Tregaskes, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 Fax: 928-537-2538 | |
Susan Davies, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Victor Staheli, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |