| Joel Lawrence Bez, DO | |
|
3770 Glenkerry Court, Portage, MI 49024 | |
| (269) 329-2887 | |
| (269) 329-2805 |
| Full Name | Joel Lawrence Bez |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 3770 Glenkerry Court, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821060427 | NPI | - | NPPES |
| 3183460 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | JB011338 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101011338 (Michigan) | Primary |
| Entity Name | Southern Michigan Pain Consultants PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538119391 PECOS PAC ID: 3173590957 Enrollment ID: O20040911000291 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20250815000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Lawrence Bez, DO 61 Commerce Ave Sw, Grand Rapids, MI 49503 Ph: (616) 940-0660 | Joel Lawrence Bez, DO 3770 Glenkerry Court, Portage, MI 49024 Ph: (269) 329-2887 |
Charles Guernsey, DO Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 |