| Clinton Edward Korneffel, DO | |
|
300 68th St Se, Grand Rapids, MI 49548-6927 | |
| (616) 455-5000 | |
| Not Available |
| Full Name | Clinton Edward Korneffel |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 6 Years |
| Location | 300 68th St Se, Grand Rapids, Michigan |
| 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 |
|---|---|---|---|
| 1497215008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125.074679 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101027386 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Rest Christian Mental Health Services | 4981506508 | 328 |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Edward Korneffel, DO 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: () - | Clinton Edward Korneffel, DO 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 |
Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864 | |
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 275 Michigan St Ne Fl 11, Grand Rapids, MI 49503 Phone: 616-267-7104 Fax: 616-267-7594 | |
Seth Batchelor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 800-678-5500 | |
Subodh Jain, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820 | |
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 426 Michigan St Ne Fl 1, Grand Rapids, MI 49503 Phone: 616-447-5820 | |
Dr. Austin Lee Van Velsen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857 |