| Mark R Pomaranski, MD | |
|
550 Munson Ave, Suite 200, Traverse City, MI 49686 | |
| (231) 935-8717 | |
| (231) 935-9230 |
| Full Name | Mark R Pomaranski |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 550 Munson Ave, Suite 200, Traverse City, 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 |
|---|---|---|---|
| 1962511097 | NPI | - | NPPES |
| 38-2170687 | Other | MI | PRIORITY HEALTH |
| 0702810641 | Other | MI | BLUE CROSS BLUE SHIELD |
| P00271718 | Other | MI | RAILROAD MEDICARE |
| M008816 | Other | MI | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 43010676697 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Michigan Dermatology P.c. | 8921037805 | 5 |
| Entity Name | Northwestern Michigan Dermatology P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952410094 PECOS PAC ID: 8921037805 Enrollment ID: O20050810001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Pomaranski, MD 550 Munson Ave, Suite 200, Traverse City, MI 49686 Ph: (231) 935-8717 | Mark R Pomaranski, MD 550 Munson Ave, Suite 200, Traverse City, MI 49686 Ph: (231) 935-8717 |
Raymond J Dean, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3643 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-0620 Fax: 231-935-0626 | |
Paula L Cahill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Maria C Carroll, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Joan M Griner Licht, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3643 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-0620 Fax: 231-935-0626 | |
Dr. Jeffrey John Kelly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3643 W Front St, Suite A, Traverse City, MI 49684 Phone: 231-935-0620 Fax: 231-935-0626 | |
Susan C Noble, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 550 Munson Avenue, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Anthony C Vanvreede, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684 Phone: 231-642-5031 Fax: 231-525-2306 |