| Taylor Pruis, MD | |
|
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
| (161) 625-2720 | |
| Not Available |
| Full Name | Taylor Pruis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 5 Years |
| Location | 5900 Byron Center Ave Sw, Wyoming, 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 |
|---|---|---|---|
| 1104452036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301512279 (Michigan) | Primary |
| 207L00000X | Anesthesiology | CDR.0005761 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Metro Health Hospital | Wyoming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Michigan Anesthesia Pc | 1355243551 | 181 |
| Anesthesia Medical Consultants, Pc | 3678751658 | 89 |
| Entity Name | West Michigan Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040504001256 |
| Entity Name | Anesthesia Medical Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Pruis, MD 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Taylor Pruis, MD 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (161) 625-2720 |
Dr. Thomas L Goodell, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Metro Health - Hospital, Wyoming, MI 49519 Phone: 616-808-3944 Fax: 616-808-3948 | |
Alexandra M Kiers, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-364-4200 Fax: 616-364-7347 | |
Dr. Trevor Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Dr. Kathryn Marie Hoyner, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Dr. Jerry V O'brien, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Metro Health Hospital, Wyoming, MI 49519 Phone: 616-808-3944 Fax: 616-808-3948 | |
Thomas Michael Basch, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2147 Health Dr Sw Ste 100, Wyoming, MI 49519 Phone: 616-281-1600 Fax: 616-281-2247 |