| Roger Holman, DO | |
|
675 W Randall St, Coopersville, MI 49404-1305 | |
| (616) 837-9777 | |
| (616) 837-7813 |
| Full Name | Roger Holman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 51 Years |
| Location | 675 W Randall St, Coopersville, 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 |
|---|---|---|---|
| 1073518270 | NPI | - | NPPES |
| 0N27520 | Other | MI | MEDICARE MCUG GROUP |
| N27520004 | Other | MI | MEDICARE MGUC INDIVIDUAL |
| 005703574 | Other | MI | BCBSMI |
| 0027003 | Other | MI | PRIORITY HEALTH HMO |
| 4313667 | Medicaid | MI | |
| P57675 | Other | MI | BLUES HMO'S |
| RH006733 | Other | BCBS | |
| 112730992 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101006733 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 5101006733 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Ottawa Community Health System | Grand haven, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Entity Name | Randall Street Medical, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598734584 PECOS PAC ID: 1951474246 Enrollment ID: O20120712000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Holman, DO 675 W Randall St, Coopersville, MI 49404-1305 Ph: (616) 837-9777 | Roger Holman, DO 675 W Randall St, Coopersville, MI 49404-1305 Ph: (616) 837-9777 |
Steven A Speet, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Conran Drive, Suite B, Coopersville, MI 49404 Phone: 616-267-7860 Fax: 616-267-7861 | |
Maxwell Mcdonald Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 | |
Kendal Elizabeth Gluck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W Randall St, Coopersville, MI 49404 Phone: 616-974-4860 | |
Janet Marie Millermaier, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Conran Drive, Suite B, Coopersville, MI 49504 Phone: 616-267-7860 Fax: 616-267-7861 | |
Morgan Jean Sundblad Hsieh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 | |
Mrs. Heidi Jo Parcher, AGPCNP-BC Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 675 W Randall St, Coopersville, MI 49404 Phone: 616-837-9777 |