| Mark Jary, MD | |
|
7782 20th Ave, Jenison, MI 49428-8524 | |
| (616) 685-8700 | |
| (616) 457-5567 |
| Full Name | Mark Jary |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7782 20th Ave, Jenison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467407049 | NPI | - | NPPES |
| 3415671 | Medicaid | MI | |
| 4877456 | Medicaid | MI | |
| 4206620 | Medicaid | MI | |
| 2995129 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301062734 (Michigan) | Primary |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jary, MD 245 State St Se, Grand Rapids, MI 49503-4328 Ph: (616) 685-1808 | Mark Jary, MD 7782 20th Ave, Jenison, MI 49428-8524 Ph: (616) 685-8700 |
Dr. Matthew Wesley Medley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7686 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-252-8600 Fax: 616-252-8660 | |
Amy Renee Henne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Dr. Tanya L. Vreeke, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Janine Vannoord, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Karl O Breitweiser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7686 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-252-8600 Fax: 616-252-8660 | |
Emily Schipper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7782 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 | |
Gregory Vanwienen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7780 20th Ave, Jenison, MI 49428 Phone: 616-685-8700 Fax: 616-457-5567 |