| Dr Keith Vanoosterhout, MD | |
|
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
| (616) 776-0682 | |
| (616) 685-1846 |
| Full Name | Dr Keith Vanoosterhout |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 47 Years |
| Location | 200 Jefferson Ave Se, Grand Rapids, 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 |
|---|---|---|---|
| 1851329957 | NPI | - | NPPES |
| 0801101642 | Other | MI | BLUE CROSS PIN |
| 4854101 | Medicaid | MI | |
| 80059362 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301042561 (Michigan) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 4301042561 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emmanuel Hospice | Grand rapids, MI | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Marys Health Services | 4981500436 | 161 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | Saint Marys Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063917425 PECOS PAC ID: 4981500436 Enrollment ID: O20180511000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Vanoosterhout, MD 1900 44th St Se, Kentwood, MI 49508-5008 Ph: () - | Dr Keith Vanoosterhout, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 776-0682 |
Maureen Tan Pedres, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |