| Stephen Lee Winston, MD | |
| 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | |
| (616) 285-1377 | |
| (616) 285-1154 | 
| Full Name | Stephen Lee Winston | 
|---|---|
| Gender | Male | 
| Speciality | Pain Medicine - Interventional Pain Medicine | 
| Location | 2060 East Paris Ave Se Ste 200, Grand Rapids, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376509158 | NPI | - | NPPES | 
| 175881 | Other | US DEPT OF LABOR | |
| 24278 | Other | HEALTH PLAN OF MICHIGAN | |
| 4467217 | Other | AETNA | |
| 4532369-10 | Medicaid | MI | |
| 550410620 | Other | MI | BCBSM | 
| 504646 | Other | PREFERRED CHOICES | |
| 5211643-10 | Medicaid | MI | |
| 7000027111 | Other | PRIORITY HEALTH | |
| 050059838 | Other | RAILROAD MEDICARE | |
| 4552960-10 | Medicaid | MI | |
| 3240684 | Other | CIGNA | |
| 4593079-10 | Medicaid | MI | |
| 7000027111 | Other | PRIORITY HEALTH MEDICAID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 4301052549 (Michigan) | Secondary | 
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301052549 (Michigan) | Primary | 
| Entity Name | Michigan Pain Consultants Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094 | 
| Entity Name | Advantage Health/saint Mary's Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephen Lee Winston, MD 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662 | Stephen Lee Winston, MD 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377 | 
| Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345 | |
| Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
| Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
| Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
| Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
| Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377 | |
| Mark Louis Gostine, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 |