| Kirsten M Johantgen, MD | |
|
7895 Currier Dr, Portage, MI 49002-4314 | |
| (269) 321-7080 | |
| Not Available |
| Full Name | Kirsten M Johantgen |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 7895 Currier Dr, Portage, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285736371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301054491 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Promed | 7315856077 | 239 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Family Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten M Johantgen, MD 5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016 Ph: () - | Kirsten M Johantgen, MD 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7080 |
Scott Piereson, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-321-7080 | |
Dr. Amber Rachelle Nash-guilford, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-321-7080 Fax: 269-321-7011 | |
Scott M Peterson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024 Phone: 269-327-2211 Fax: 269-327-0273 | |
Tempest A Allen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-327-2211 Fax: 269-327-0273 | |
Steven M Trillet, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-327-2211 Fax: 269-327-0273 | |
George G Bruzza Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-321-7080 |