| Dr Jeffrey M Ricketts, DO | |
|
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 | |
| (616) 364-4200 | |
| (616) 364-7347 |
| Full Name | Dr Jeffrey M Ricketts |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033172184 | NPI | - | NPPES |
| 3318293 | Medicaid | MI | |
| 050D110480 | Other | MI | BCBS GROUP BILL PIN |
| 5410038 | Other | MI | BCBS PIN |
| JR008399 | Other | MI | BCBS LICENSE NUMBER |
| 050054284 | Other | MI | RAILROAD MEDICARE |
| CE1952 | Other | MI | RAILROAD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101008399 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey M Ricketts, DO 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200 | Dr Jeffrey M Ricketts, DO 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200 |
Matthew H Armstrong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1510 | |
Daniel H. Robinson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Cheryl Lukins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503 Phone: 616-391-3245 | |
Dr. Steven Denhof, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 | |
Christopher Ross Russo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086 | |
Samuel Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 |