| Dr John David Moffat, MD | |
|
829 N Center Ave, Suite 120, Gaylord, MI 49735-1595 | |
| (989) 731-7987 | |
| (989) 731-7983 |
| Full Name | Dr John David Moffat |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 49 Years |
| Location | 829 N Center Ave, Gaylord, 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 |
|---|---|---|---|
| 1053373118 | NPI | - | NPPES |
| 5217440 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301070842 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mackinac Straits Hospital And Health Center | Saint ignace, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mackinac Straits Health System Inc | 1456420876 | 24 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John David Moffat, MD 271 Mccoy Rd W, Gaylord, MI 49735-8253 Ph: (989) 731-7708 | Dr John David Moffat, MD 829 N Center Ave, Suite 120, Gaylord, MI 49735-1595 Ph: (989) 731-7987 |
Caleb Robert Alley, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 829 N Center Ave Ste 120, Gaylord, MI 49735 Phone: 989-731-7987 | |
Dr. Dirk William Bowman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 829 N Center Ave Ste 120, Gaylord, MI 49735 Phone: 989-731-7987 Fax: 989-731-7983 |