| Dr Gordon R Bleil, MD | |
|
955 S Bailey Ave, South Haven, MI 49090-9701 | |
| (269) 639-2910 | |
| (269) 639-2919 |
| Full Name | Dr Gordon R Bleil |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 955 S Bailey Ave, 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 |
|---|---|---|---|
| 1295847739 | NPI | - | NPPES |
| 2937733 | Medicaid | MI | |
| 080064237 | Other | MI | RR MEDICARE |
| 0131167 | Other | MI | PHP/IBA |
| P77691 | Other | MI | BCN |
| 5976083 | Other | MI | AETNA |
| 080H06004 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056047 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Physician Services | 5991694358 | 6 |
| Bronson South Haven Hospital | 6204724834 | 33 |
| Bronson Lakeview Hospital | 9032008495 | 52 |
| 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 Lakeview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon R Bleil, MD 955 S Bailey Ave, South Haven, MI 49090-9701 Ph: (269) 639-2910 | Dr Gordon R Bleil, MD 955 S Bailey Ave, South Haven, MI 49090-9701 Ph: (269) 639-2910 |
Conor Mullin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 | |
Dr. Arlynne Mildred Eisner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-427-5811 Fax: 269-427-6107 | |
Dr. Matthew G Small, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090 Phone: 269-639-2772 Fax: 269-639-2770 | |
Dr. Richard John Allen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314 | |
Kathy Watt, N.P. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 | |
Dr. David Michael Liscow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314 |