| Timothy S Wang, MD | |
|
6225 Prairie St, Norton Shores, MI 49444-7831 | |
| (231) 798-9500 | |
| (231) 798-9533 |
| Full Name | Timothy S Wang |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 6225 Prairie St, Norton Shores, 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 |
|---|---|---|---|
| 1508954330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | D69642 (Maryland) | Secondary |
| 207N00000X | Dermatology | 076535 (Georgia) | Secondary |
| 207N00000X | Dermatology | 4301064428 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 568 |
| Entity Name | Lakeshore Derm & Laser Center Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538209945 PECOS PAC ID: 5799793006 Enrollment ID: O20060329000031 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912347923 PECOS PAC ID: 3779471701 Enrollment ID: O20131025001403 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S Wang, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Timothy S Wang, MD 6225 Prairie St, Norton Shores, MI 49444-7831 Ph: (231) 798-9500 |
Nicole M. Bossenbroek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 | |
Dr. Jason Barrett Van Ittersum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 | |
Robert A Gielczyk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 |