| Mark Wells Kemp, DO | |
|
955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 | |
| (269) 639-2777 | |
| Not Available |
| Full Name | Mark Wells Kemp |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 955 S Bailey Ave Ste 200, South Haven, 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 |
|---|---|---|---|
| 1053365064 | NPI | - | NPPES |
| 4878533 | Medicaid | MI | |
| 3409754 | Medicaid | MI | |
| 4183150 | Medicaid | MI | |
| 3381662 | Medicaid | MI | |
| 4877859 | Medicaid | MI | |
| 3494728 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101010415 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson South Haven Hospital | 6204724834 | 33 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265405310 PECOS PAC ID: 9032015805 Enrollment ID: O20031211000423 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376539338 PECOS PAC ID: 9032015805 Enrollment ID: O20061104000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wells Kemp, DO 601 John Street, Box 42, Kalamazoo, MI 49007 Ph: () - | Mark Wells Kemp, DO 955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 Ph: (269) 639-2777 |
Bradley D Bastow, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Blue Star Hwy, Suite 1-2, South Haven, MI 49090 Phone: 269-637-1388 Fax: 269-637-1459 | |
Sue Killion Cammarata, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Clinton St, South Haven, MI 49090 Phone: 269-637-2001 | |
Lori Jean Dotson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2833 Fax: 269-639-2776 | |
Dr. Ramon E Urrea, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 965 S Bailey Ave, Suite 1-4, South Haven, MI 49090 Phone: 269-639-2777 Fax: 269-639-2776 |