| Spencer Thomas Bertram, MD | |
|
555 W Wackerly St, Midland, MI 48640-4722 | |
| (989) 832-4202 | |
| Not Available |
| Full Name | Spencer Thomas Bertram |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 555 W Wackerly St, Midland, 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 |
|---|---|---|---|
| 1205876513 | NPI | - | NPPES |
| 01005987 | Other | MI | HEALTH PLUS |
| 1338919 | Other | AETNA | |
| 502512712 | Other | MI | BCBSM |
| 4922435-10 | Medicaid | MI | |
| P00379788 | Other | RAILROAD MEDICARE | |
| 156785 | Other | MI | GREAT LAKES HEALTH PLAN |
| 1023407 | Other | MI | MCLAREN HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | Q5156 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301085355 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-gratiot | Alma, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Group Pllc | 1153636576 | 6 |
| Entity Name | Anesthesia Services Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
| Entity Name | Mymichigan Medical Center Alpena |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467529404 PECOS PAC ID: 8527969922 Enrollment ID: O20040119000347 |
| Entity Name | Mymichigan Medical Center Alma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568914422 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Mymichigan Medical Center Alpena |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508332792 PECOS PAC ID: 8527969922 Enrollment ID: O20040415000495 |
| Entity Name | Mymichigan Medical Center Clare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134394026 PECOS PAC ID: 7012829773 Enrollment ID: O20080721000628 |
| Entity Name | Pain Management Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780071167 PECOS PAC ID: 1153636576 Enrollment ID: O20150813012386 |
| Entity Name | Mymichigan Medical Center West Branch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Thomas Bertram, MD 9909 Kingston Rdg, Clarkston, MI 48348-4190 Ph: (108) 964-5726 | Spencer Thomas Bertram, MD 555 W Wackerly St, Midland, MI 48640-4722 Ph: (989) 832-4202 |