| Theodore J Vanderkooi, MD | |
|
230 W Oak St, Suite 201, Fremont, MI 49412-1575 | |
| (231) 924-4200 | |
| (616) 267-9046 |
| Full Name | Theodore J Vanderkooi |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 230 W Oak St, Fremont, 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 |
|---|---|---|---|
| 1801849120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 065627 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Muskegon Surgical Associates Pc | 0941262877 | 27 |
| Entity Name | Muskegon Surgical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225101660 PECOS PAC ID: 0941262877 Enrollment ID: O20041102000715 |
| Entity Name | Muskegon Surgical Associates Surgicenter Plc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1184485146 PECOS PAC ID: 2264965888 Enrollment ID: O20241104001832 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J Vanderkooi, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Theodore J Vanderkooi, MD 230 W Oak St, Suite 201, Fremont, MI 49412-1575 Ph: (231) 924-4200 |
Aamir Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Douglas A. Johnson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 | |
Dr. Kegan Michael Rummel, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Erich Stocks Schafer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Jeremy James Kuiper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 616-267-9046 | |
Katherine E Shafer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 |