| Dr David Wayne Young, MD, MS | |
|
420 W High St, Borgess-lee Memorial Ed, Dowagiac, MI 49047-1943 | |
| (269) 783-3000 | |
| (269) 783-3005 |
| Full Name | Dr David Wayne Young |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 420 W High St, Dowagiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427006832 | NPI | - | NPPES |
| 45481171 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301075673 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 4301075673 (Michigan) | Secondary |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Wayne Young, MD, MS 4690 Long Lake Dr, Portage, MI 49002-7495 Ph: (269) 329-2947 | Dr David Wayne Young, MD, MS 420 W High St, Borgess-lee Memorial Ed, Dowagiac, MI 49047-1943 Ph: (269) 783-3000 |
Olen Netteburg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-782-8681 | |
Dr. Erem E Bobrakov, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-783-3082 Fax: 269-783-3044 | |
Dr. Tadd A Heft, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-783-3082 Fax: 269-783-3044 |