| Philip Hartgerink, MD | |
|
555 Linn St, Allegan, MI 49010-1524 | |
| (616) 235-4800 | |
| Not Available |
| Full Name | Philip Hartgerink |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 555 Linn St, Allegan, 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 |
|---|---|---|---|
| 1063514909 | NPI | - | NPPES |
| 4241601 | Medicaid | MI | |
| DD4837 | Other | MEDICARE RR PIN | |
| 4395223 | Medicaid | MI | |
| 310A710590 | Other | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301067478 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hospital | Zanesville, OH | Hospital |
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lucidsolutions Inc | 0749603462 | 89 |
| Riverside Radiology And Interventional Associates Inc | 8729976964 | 194 |
| Entity Name | Riverside Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20180411002073 |
| Entity Name | Lucidsolutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518594480 PECOS PAC ID: 0749603462 Enrollment ID: O20200730000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Hartgerink, MD 5350 Beckley Rd, Suite C, Battle Creek, MI 49015-4178 Ph: (269) 979-9400 | Philip Hartgerink, MD 555 Linn St, Allegan, MI 49010-1524 Ph: (616) 235-4800 |
Michael Jacoby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 555 Linn St, Allegan, MI 49010 Phone: 616-235-4800 |