| Mark E Meyer, MD | |
| 
					1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639  | |
| (269) 343-1264 | |
| (269) 343-9555 | 
| Full Name | Mark E Meyer | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 1541 Gull Rd, Kalamazoo, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104806678 | NPI | - | NPPES | 
| 2654120 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | 4301056522 (Michigan) | Primary | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark E Meyer, MD 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 Ph: (269) 343-1264  | Mark E Meyer, MD 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 Ph: (269) 343-1264  | 
Chris A Sloffer, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-124, Kalamazoo, MI 49007 Phone: 269-341-7500 Fax: 269-341-6894  | |
Dr. Eriks Antons Lusis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St Ste M-124, Kalamazoo, MI 49007 Phone: 269-341-7500  | |
Jonathan W. Hopkins, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555  | |
Richard A Dirrenberger, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555  | |
Mark J Krinock, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555  | |
Swetha J Sundar, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 601 John St Ste M-124, Kalamazoo, MI 49007 Phone: 269-341-7500  |