| Dr Tristan J Worthington, DO | |
| 
					5900 Byron Center Ave Sw, Wyoming, MI 49519-9606  | |
| (616) 252-7200 | |
| (616) 252-4953 | 
| Full Name | Dr Tristan J Worthington | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 5900 Byron Center Ave 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 | 
|---|---|---|---|
| 1013590983 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101028239 (Michigan) | Primary | 
| Entity Name | Metropolitan Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012  | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tristan J Worthington, DO 2215 44th St Sw, Wyoming, MI 49519-6439 Ph: (616) 252-8300  | Dr Tristan J Worthington, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200  | 
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  | |
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  | |
Scott A Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460  |