| Keith B Javery, DO | |
|
710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 | |
| (616) 588-7246 | |
| (616) 588-7086 |
| Full Name | Keith B Javery |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 36 Years |
| Location | 710 Kenmoor Ave Se, Grand Rapids, 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 |
|---|---|---|---|
| 1891892402 | NPI | - | NPPES |
| 1164664082 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101012927 (Michigan) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 5101012927 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metro Health Hospital | Wyoming, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Spectrum Health United Hospital | Greenville, MI | Hospital |
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Physical Rehabilitation And Therapy Lp | 0941513303 | 225 |
| West Michigan Pain Center Pc | 1355717331 | 7 |
| Center For Physical Rehabilitation Inc | 6901717768 | 217 |
| Entity Name | West Michigan Pain Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447973060 PECOS PAC ID: 1355717331 Enrollment ID: O20221017000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith B Javery, DO 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 Ph: (616) 588-7246 | Keith B Javery, DO 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 Ph: (616) 588-7246 |
Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345 | |
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377 | |
Mark Louis Gostine, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 |