| David A Listello, MD | |
|
3200 Eagle Park Dr Ne, Ste 102, Grand Rapids, MI 49525-7057 | |
| (616) 285-9090 | |
| (616) 285-7947 |
| Full Name | David A Listello |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 38 Years |
| Location | 3200 Eagle Park Dr Ne, 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 |
|---|---|---|---|
| 1508973538 | NPI | - | NPPES |
| 3207721 | Medicaid | MI | |
| 2904154311 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 4301062432 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Of West Michigan Pllc | 9335243484 | 5 |
| Entity Name | Internal Medicine Of West Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028412 PECOS PAC ID: 9335243484 Enrollment ID: O20070329000010 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Listello, MD 3200 Eagle Park Dr Ne, Suite 102, Grand Rapids, MI 49525-7057 Ph: (616) 285-9090 | David A Listello, MD 3200 Eagle Park Dr Ne, Ste 102, Grand Rapids, MI 49525-7057 Ph: (616) 285-9090 |
Maureen Tan Pedres, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |