| Michael Kenneth Hofman, | |
|
2093 Health Dr Sw Ste 200, Wyoming, MI 49519-9691 | |
| (616) 459-3158 | |
| (616) 819-2222 |
| Full Name | Michael Kenneth Hofman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 2093 Health Dr Sw Ste 200, Wyoming, 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 |
|---|---|---|---|
| 1710541404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301510242 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 4301510242 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Valley Medical Specialists Plc | 1254311947 | 21 |
| Entity Name | Grand Valley Medical Specialists Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033226402 PECOS PAC ID: 1254311947 Enrollment ID: O20040722001223 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kenneth Hofman, 2128 Chesaning Dr Se, Grand Rapids, MI 49506-5311 Ph: (616) 581-3606 | Michael Kenneth Hofman, 2093 Health Dr Sw Ste 200, Wyoming, MI 49519-9691 Ph: (616) 459-3158 |
Mark J Tieszen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. Heidi Lynn Putt, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 | |
Dr. John Allen Key, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 |