Dr Mark A Fredrickson, MD | |
1000 28th St Sw, Wyoming, MI 49509-2881 | |
(616) 655-7024 | |
Not Available |
Full Name | Dr Mark A Fredrickson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1000 28th St Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356426712 | NPI | - | NPPES |
2836516 | Medicaid | MI | |
080D148480 | Other | BCBS MICH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MF048876 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Entity Name | Grand Valley State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518019223 PECOS PAC ID: 8224093992 Enrollment ID: O20041122000705 |
Entity Name | Riverwood Family Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972677656 PECOS PAC ID: 7911930060 Enrollment ID: O20050919000172 |
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 | Osh-mi Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark A Fredrickson, MD Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Dr Mark A Fredrickson, MD 1000 28th St Sw, Wyoming, MI 49509-2881 Ph: (616) 655-7024 |
Dr. Tristan J Worthington, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
Mark W Newberry, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 | |
John W Hamersma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Brooke M Lenz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
Alan Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-685-3300 Fax: 616-685-3303 | |
Michael J Bultje, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Richard J Stang, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 Sandy Ct Sw, Wyoming, MI 49418 Phone: 616-272-3909 |