| Susan Lm Ervine, MD | |
|
602 Michigan Ave, Holland, MI 49423 | |
| (616) 392-5141 | |
| Not Available |
| Full Name | Susan Lm Ervine |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 602 Michigan Ave, Holland, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992738793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301078302 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holland Community Hospital | Holland, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health United Hospital | Greenville, MI | Hospital |
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Spectrum Health Pennock | Hastings, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Radiology Services Pc | 4284546516 | 243 |
| Entity Name | Advanced Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
| Entity Name | Spartan Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lm Ervine, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 | Susan Lm Ervine, MD 602 Michigan Ave, Holland, MI 49423 Ph: (616) 392-5141 |
Gerald Joseph Perriguey Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Paula Kristine Maas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1904 Goldeneye Dr, Holland, MI 49424 Phone: 616-399-3662 | |
Konstantin Raimund Loewig, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Jeffrey S Tanis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Gary L Bowman, DO Radiology Medicare: Medicare Enrolled Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Edward Jerome Maas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Richard Wayne Partridge, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 |