| Michael P Buetow, MD | |
|
1215 E Michigan Ave, Lansing, MI 48912-1811 | |
| (517) 364-2315 | |
| (517) 372-1617 |
| Full Name | Michael P Buetow |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1215 E Michigan Ave, Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568490837 | NPI | - | NPPES |
| 1600248 | Other | MI | PHP |
| 3003302431 | Other | MI | BCBS MI INDIVIDUAL PIN |
| 4105931 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301066029 (Michigan) | Primary |
| Entity Name | Northwest Radiologists Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013907955 PECOS PAC ID: 1456248368 Enrollment ID: O20040303001109 |
| Entity Name | Mt Baker Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295725133 PECOS PAC ID: 7113963802 Enrollment ID: O20050705000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Buetow, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 | Michael P Buetow, MD 1215 E Michigan Ave, Lansing, MI 48912-1811 Ph: (517) 364-2315 |
Dr. Robert J Wolf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3901 | |
Casey Branach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-3464 | |
Nathan Jones, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 269-567-9835 Fax: 269-567-9841 | |
Meketa M Schlega, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3801 | |
James H. Deering, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3801 | |
Mark C Delano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3220 Discovery Dr Ste 100, Lansing, MI 48910 Phone: 517-975-3794 Fax: 517-975-8923 | |
Dr. Joseph R Pernicone, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 3220 Discovery Dr Ste 100, Room A204, Lansing, MI 48910 Phone: 517-975-8930 Fax: 517-337-4985 |