| Laura Kitzmiller, MD | |
|
14719 W Upright St, Charlevoix, MI 49720-1949 | |
| (231) 547-3840 | |
| Not Available |
| Full Name | Laura Kitzmiller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 14719 W Upright St, Charlevoix, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962728113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301109010 (Michigan) | Primary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 4301109010 (Michigan) | Secondary |
| Entity Name | University Pediatricians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326124058 PECOS PAC ID: 4284528035 Enrollment ID: O20040211001170 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Kitzmiller, MD 14719 W Upright St, Charlevoix, MI 49720-1949 Ph: (231) 547-3840 | Laura Kitzmiller, MD 14719 W Upright St, Charlevoix, MI 49720-1949 Ph: (231) 547-3840 |
Rachel Beth Newman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Dr. Roderic E Tinney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Cynthia Statler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Dr. Megan Hooper Coggon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14719 W Upright St Bldg C, Charlevoix, MI 49720 Phone: 231-547-3840 | |
Dr. Joshua R Meyerson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 220 W Garfield Ave, Charlevoix, MI 49720 Phone: 231-547-6523 Fax: 231-547-6238 |