| Mark W Newberry, MD | |
| 
					5838 Metro Way Sw, Wyoming, MI 49519-9619  | |
| (616) 249-5300 | |
| Not Available | 
| Full Name | Mark W Newberry | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 5838 Metro Way Sw, Wyoming, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013962216 | NPI | - | NPPES | 
| 4771107 | Medicaid | MI | |
| 4770905 | Medicaid | MI | |
| 4773836 | Medicaid | MI | |
| 4770950 | Medicaid | MI | |
| 4774029 | Medicaid | MI | |
| 0D161147 | Other | MI | BCBS | 
| 1598712390 | Other | MI | GROUP NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301067531 (Michigan) | Primary | 
| Entity Name | Iha Health Services Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355  | 
| 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 W Newberry, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300  | Mark W Newberry, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300  | 
Dr. Tristan J Worthington, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953  | |
John W Hamersma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222  | |
Alan Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-685-3300 Fax: 616-685-3303  | |
Michael J Bultje, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222  | |
Dr. Richard J Stang, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 Sandy Ct Sw, Wyoming, MI 49418 Phone: 616-272-3909  | |
Scott A Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460  |