| John Ludlow, MD | |
|
577 Michigan Ave, Suite 201, Holland, MI 49423-4911 | |
| (616) 392-1816 | |
| (616) 392-1292 |
| Full Name | John Ludlow |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 577 Michigan Ave, Holland, 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 |
|---|---|---|---|
| 1710927728 | NPI | - | NPPES |
| 1952507444 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 75601 (Minnesota) | Secondary |
| 208800000X | Urology | 4301072083 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckenzie County Healthcare Systems Inc | Watford city, ND | Hospital |
| Holland Community Hospital | Holland, MI | Hospital |
| Sidney Health Center | Sidney, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holland Community Hospital | 0446157291 | 160 |
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Mckenzie County Healthcare Systems Inc | 5890768006 | 43 |
| Entity Name | Holland Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780888099 PECOS PAC ID: 0446157291 Enrollment ID: O20031218000484 |
| Mailing Address | Practice Location Address |
|---|---|
| John Ludlow, MD Po Box 77000, Dept # 771412, Detroit, MI 48277-1412 Ph: (616) 392-1816 | John Ludlow, MD 577 Michigan Ave, Suite 201, Holland, MI 49423-4911 Ph: (616) 392-1816 |
Toby Lees, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 577 Michigan Ave Ste 201, Holland, MI 49423 Phone: 616-392-1816 | |
Dr. David Joseph Kozminski, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 577 Michigan Ave Ste 201, Holland, MI 49423 Phone: 616-392-1816 | |
Robert Bates, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 577 Michigan Ave, Ste 201, Holland, MI 49423 Phone: 616-392-1816 Fax: 616-392-1292 | |
Dr. Michael Arthure Traver, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 577 Michigan Ave, Suite 201, Holland, MI 49423 Phone: 616-392-1816 Fax: 616-392-1292 | |
Dr. Jay M Lonsway, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 577 Michigan Ave Ste 201, Holland, MI 49423 Phone: 616-392-1816 | |
Douglas Walvoord, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 577 Michigan Ave, Ste 201, Holland, MI 49423 Phone: 616-692-1816 Fax: 616-392-1292 |