| Dr Mary A Ivey, MD | |
|
14700 Park Ave, Charlevoix, MI 49720-1930 | |
| (231) 547-4477 | |
| (231) 547-4753 |
| Full Name | Dr Mary A Ivey |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 14700 Park Ave, Charlevoix, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427137231 | NPI | - | NPPES |
| 4644884 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301074849 (Michigan) | Primary |
| Entity Name | Bayview Ob/gyn, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013001254 PECOS PAC ID: 6103808878 Enrollment ID: O20040605000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary A Ivey, MD 14700 Park Ave, Charlevoix, MI 49720-1930 Ph: (231) 547-4477 | Dr Mary A Ivey, MD 14700 Park Ave, Charlevoix, MI 49720-1930 Ph: (231) 547-4477 |
Trisha J Tomkins, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14651 W Upright St, Charlevoix, MI 49720 Phone: 231-547-4477 | |
Caitlyn Monks, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14651 W Upright St, Charlevoix, MI 49720 Phone: 231-547-4477 Fax: 231-392-7334 | |
William Edwin Mosher Iii, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14700 Park, Charlevoix, MI 49720 Phone: 231-547-4477 Fax: 231-547-4753 | |
James Jeakle, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14700 Park Ave, Charlevoix, MI 49720 Phone: 231-547-4477 Fax: 231-547-4753 |