| Richard E Hodgman, MD | |
|
419 S Coral St, Kalkaska, MI 49646-2500 | |
| (231) 258-7777 | |
| Not Available |
| Full Name | Richard E Hodgman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 53 Years |
| Location | 419 S Coral St, Kalkaska, 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 |
|---|---|---|---|
| 1275561474 | NPI | - | NPPES |
| 4332189 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301032189 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Mackinac Straits Hospital And Health Center | Saint ignace, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalkaska Memorial Health Center | 3577536002 | 50 |
| Great Lakes Therapy Housecalls Pc | 7719876580 | 54 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Entity Name | Michigan Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205075074 PECOS PAC ID: 7810045127 Enrollment ID: O20090424000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E Hodgman, MD 419 S Coral St, Kalkaska, MI 49646-2500 Ph: (231) 258-7777 | Richard E Hodgman, MD 419 S Coral St, Kalkaska, MI 49646-2500 Ph: (231) 258-7777 |
Marc A Frick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 Fax: 231-258-7786 | |
Gary R Ziegler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 | |
Andrew James Long, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 Fax: 231-935-8099 | |
Jeremy K Holmes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 | |
Dr. Natalie Jean Okerson-sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 |