| Timothy M Bont, MD | |
|
211 W Pine Lake Dr, Newaygo, MI 49337-8029 | |
| (231) 652-1631 | |
| (231) 652-1733 |
| Full Name | Timothy M Bont |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 211 W Pine Lake Dr, Newaygo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821040106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 064408 (Michigan) | Primary |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Newaygo County General Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750404927 PECOS PAC ID: 4880503051 Enrollment ID: O20040423001232 |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M Bont, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Timothy M Bont, MD 211 W Pine Lake Dr, Newaygo, MI 49337-8029 Ph: (231) 652-1631 |
Erica R. Rose, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 Fax: 231-652-1733 | |
Michelle L. Lenz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 Fax: 231-652-1733 |