| Dr Allan D Caudill, MD | |
|
940 Blue Star Hwy, South Haven, MI 49090-7758 | |
| (269) 639-2893 | |
| Not Available |
| Full Name | Dr Allan D Caudill |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 45 Years |
| Location | 940 Blue Star Hwy, South Haven, 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 |
|---|---|---|---|
| 1346224086 | NPI | - | NPPES |
| 010011795 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101235364 (Virginia) | Secondary |
| 208600000X | Surgery | 4301050127 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson Methodist Hospital | 0244148633 | 657 |
| Bronson South Haven Hospital | 6204724834 | 33 |
| Bronson Lakeview Hospital | 9032008495 | 52 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Entity Name | Bronson Lakeview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
| Entity Name | Bronson Lakeview Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962508259 PECOS PAC ID: 9032008495 Enrollment ID: O20080516000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allan D Caudill, MD 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2874 | Dr Allan D Caudill, MD 940 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 639-2893 |
Dr. Robert Edward Quinlan Jr., D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 950 Blue Star Hwy, Suite 1-2, South Haven, MI 49090 Phone: 269-637-1388 Fax: 269-637-1459 | |
Dr. Maura E Buckingham, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2893 Fax: 269-693-2894 |