| Dr Gerald Alan Friedman, MD | |
|
13326 N Blvd, Vicksburg, MI 49097-1514 | |
| (269) 649-2321 | |
| Not Available |
| Full Name | Dr Gerald Alan Friedman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 13326 N Blvd, Vicksburg, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346217445 | NPI | - | NPPES |
| 010C96065 | Other | MI | BCBS |
| 1417961137 | Other | MI | BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER |
| 1346217445 | Medicaid | MI | |
| 3209495 | Medicaid | MI | |
| C20578 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4301043834 (Michigan) | Primary |
| 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 | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Alan Friedman, MD 13326 N Blvd, Vicksburg, MI 49097-1514 Ph: (269) 649-2321 | Dr Gerald Alan Friedman, MD 13326 N Blvd, Vicksburg, MI 49097-1514 Ph: (269) 649-2321 |
Dr. Jamie V Floyd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13326 N Blvd, Vicksburg, MI 49097 Phone: 269-649-9136 |