| Joshua Vanderwall, MD | |
|
8906 M 89, Richland, MI 49083-9540 | |
| (269) 286-7130 | |
| Not Available |
| Full Name | Joshua Vanderwall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 8906 M 89, Richland, 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 |
|---|---|---|---|
| 1184079915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301502346 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4301502346 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Allegan General Hospital | Allegan, MI | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity - Michigan Em Pc | 8022414010 | 47 |
| Vituity-michigan Health Services Pc | 9931635430 | 50 |
| Entity Name | Vituity - Michigan Em Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144892332 PECOS PAC ID: 8022414010 Enrollment ID: O20210830002859 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Entity Name | Vituity-michigan Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750102323 PECOS PAC ID: 9931635430 Enrollment ID: O20241206002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Vanderwall, MD 601 John Street, Box 39, Kalamazoo, MI 49007 Ph: () - | Joshua Vanderwall, MD 8906 M 89, Richland, MI 49083-9540 Ph: (269) 286-7130 |
James Barry Nolin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Wild Dr, Richland, MI 49083 Phone: 269-203-6192 | |
Dr. Tom T Saad, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500 | |
Robert Prodinger, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9825 W Gull Lake Dr, Richland, MI 49083 Phone: 269-330-5278 |