| Dr Michael E Mayle, DO | |
|
6701 Paw Paw Ave, Coloma, MI 49038-9519 | |
| (269) 463-3600 | |
| (269) 463-0013 |
| Full Name | Dr Michael E Mayle |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 39 Years |
| Location | 6701 Paw Paw Ave, Coloma, 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 |
|---|---|---|---|
| 1851403307 | NPI | - | NPPES |
| 5110003 | Other | MI | BLUE CROSS BLUE SHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009859 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Community Hospital Watervliet | 7416942750 | 41 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael E Mayle, DO 6701 Paw Paw Ave, Coloma, MI 49038-9519 Ph: (269) 463-3600 | Dr Michael E Mayle, DO 6701 Paw Paw Ave, Coloma, MI 49038-9519 Ph: (269) 463-3600 |
Jon Andrew Ferlmann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6701 Paw Paw Ave, Coloma, MI 49038 Phone: 269-463-3600 | |
Mr. Edwin Keith Newington, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6701 Paw Paw Ave, Coloma, MI 49038 Phone: 269-468-6430 Fax: 269-468-0013 |