| Dr Phillip Gregory Wise, MD | |
|
25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503-2515 | |
| (616) 459-4171 | |
| (616) 459-0044 |
| Full Name | Dr Phillip Gregory Wise |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 43 Years |
| Location | 25 Michigan St Ne, 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 |
|---|---|---|---|
| 1124124086 | NPI | - | NPPES |
| 5217870 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301078939 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Metro Health Hospital | Wyoming, MI | Hospital |
| Spectrum Health United Hospital | Greenville, MI | Hospital |
| Spectrum Health Reed City Hospital | Reed city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Institute Of Urology Pc | 1052223492 | 77 |
| Metropolitan Hospital | 5597651836 | 382 |
| Entity Name | Michigan Institute Of Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Entity Name | Urologic Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598865735 PECOS PAC ID: 2567457633 Enrollment ID: O20040417000532 |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Gregory Wise, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Dr Phillip Gregory Wise, MD 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503-2515 Ph: (616) 459-4171 |
Erik M Ratchford, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 245 Cherry St Se,, Suite 202, Grand Rapids, MI 49503 Phone: 616-459-3551 Fax: 616-459-1060 | |
Alexander Michael Shannon, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333 | |
Dr. John Glenn Anema, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Dr. Hector Pimentel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333 | |
Dr. George Francis Steinhardt, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Theodore Dale Barber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Richard Kahnoski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546 Phone: 616-774-9333 |