| Gregory Vanwienen, MD | |
|
7780 20th Ave, Jenison, MI 49428-8524 | |
| (616) 685-8700 | |
| (616) 457-5567 |
| Full Name | Gregory Vanwienen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 7780 20th Ave, Jenison, 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 |
|---|---|---|---|
| 1194771972 | NPI | - | NPPES |
| 3416300 | Medicaid | MI | |
| 4155666 | Medicaid | MI | |
| 4876870 | Medicaid | MI | |
| 3358029 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301063899 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 448 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Vanwienen, MD 245 State St Se, Grand Rapids, MI 49503-4328 Ph: (616) 685-1808 | Gregory Vanwienen, MD 7780 20th Ave, Jenison, MI 49428-8524 Ph: (616) 685-8700 |
Dr. Matthew Wesley Medley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7686 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-252-8600 Fax: 616-252-8660 | |
Amy Renee Henne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Dr. Tanya L. Vreeke, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Janine Vannoord, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Karl O Breitweiser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7686 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-252-8600 Fax: 616-252-8660 | |
Emily Schipper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 |