| Mr John David Renucci, MD | |
|
220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210 | |
| (616) 451-4500 | |
| (616) 451-9077 |
| Full Name | Mr John David Renucci |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 31 Years |
| Location | 220 Lyon St Nw, Grand Rapids, 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 |
|---|---|---|---|
| 1487659827 | NPI | - | NPPES |
| 4403942 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 4301079486 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plastic Surgery Associates Pc | 1456300300 | 4 |
| Entity Name | Spectrum Health Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
| Entity Name | Plastic Surgery Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093899767 PECOS PAC ID: 1456300300 Enrollment ID: O20050118000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John David Renucci, MD 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210 Ph: (616) 451-4500 | Mr John David Renucci, MD 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210 Ph: (616) 451-4500 |
Mr. Steven Loren Ringler, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503 Phone: 616-451-4500 Fax: 616-451-9077 | |
Dr. Robyn Sackeyfio, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546 Phone: 616-222-0770 | |
Mark R Dehaan, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Dr. David R Alfonso, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503 Phone: 616-451-4500 Fax: 616-451-9077 | |
Reece Moore, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 275 Michigan St Ne Fl 9, Grand Rapids, MI 49503 Phone: 866-989-7999 | |
Dr. Francine Lea Vagotis, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4940 Cascade Rd Se Ste 130, Grand Rapids, MI 49546 Phone: 616-285-6400 Fax: 616-285-0417 | |
Humza Nadeem Mirza, MD, MS Plastic Surgery Medicare: Medicare Enrolled Practice Location: 275 Michigan St Ne Fl 9, Grand Rapids, MI 49503 Phone: 616-391-6243 Fax: 616-391-8612 |