| Timothy J Ismond, DO | |
|
560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | |
| (231) 487-2460 | |
| (231) 487-6596 |
| Full Name | Timothy J Ismond |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 560 W Mitchell St, Petoskey, 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 |
|---|---|---|---|
| 1649277153 | NPI | - | NPPES |
| 114085697 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101008604 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Care & Hospice | Cheboygan, MI | Home health agency |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Central Michigan | 6103733092 | 168 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Ismond, DO 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 Ph: (231) 487-2460 | Timothy J Ismond, DO 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 Ph: (231) 487-2460 |
Gary H Shaw, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313 | |
Dr. Janean Haggins-dabney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271 | |
Dr. Vira C Heise, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
John L Diedrich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
Dr. Peter E. Levanovich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055 | |
Dr. Kim Aikens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265 | |
Dr. Mark Alan Richmond, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2810 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-881-9054 Fax: 231-881-9052 |