| David Michael Childress, MD | |
|
1500 E Sherman Blvd, Muskegon, MI 49443 | |
| (231) 739-9341 | |
| Not Available |
| Full Name | David Michael Childress |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1500 E Sherman Blvd, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568409043 | NPI | - | NPPES |
| 104735174 | Medicaid | MI | |
| DC076022 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301076022 (Michigan) | Primary |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Childress, MD Po Box 673397, Detroit, MI 48267 Ph: (866) 898-7139 | David Michael Childress, MD 1500 E Sherman Blvd, Muskegon, MI 49443 Ph: (231) 739-9341 |
Christopher Jonathan Hummel, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9341 |
Marc Emmett Whitaker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49443 Phone: 231-739-9343 |
Dr. James P Farinosi, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Oak Ave, Muskegon, MI 49442 Phone: 231-672-6430 |
Joshua Robert Recknagel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 616-685-3500 |
Dr. Lucas Leete, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-4601 |
Erik Sievertsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49443 Phone: 231-728-4601 |
Veronica J Wilson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-4936 |