| Dr Angela K Tallon, MD | |
|
1310 Wisconsin St Ste 204, Grand Haven, MI 49417-2472 | |
| (616) 844-4523 | |
| Not Available |
| Full Name | Dr Angela K Tallon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1310 Wisconsin St Ste 204, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245460807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301094962 (Michigan) | Secondary |
| 208000000X | Pediatrics | 35C.001179 (Ohio) | Primary |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Entity Name | Noch Physician Billing Company Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1972550580 PECOS PAC ID: 8527078583 Enrollment ID: O20140401000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela K Tallon, MD 7401 Water View Ln, Allendale, MI 49401-8837 Ph: (616) 634-1130 | Dr Angela K Tallon, MD 1310 Wisconsin St Ste 204, Grand Haven, MI 49417-2472 Ph: (616) 844-4523 |
Lindsay Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Tarin Lee Devoursney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Kira Rae Sieplinga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Michelle Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Julia Kathryn Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Dr. Benjamin Daniel Tift, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 |