| Timothy Victor Smith, | |
|
382 N 120th Ave, Holland, MI 49424 | |
| (616) 396-6516 | |
| Not Available |
| Full Name | Timothy Victor Smith |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 382 N 120th Ave, Holland, 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 |
|---|---|---|---|
| 1295828820 | NPI | - | NPPES |
| 0700054 | Other | MI | BCBS |
| 1361310 | Medicaid | MI | |
| O10038065 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301041229 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holland Community Hospital | Holland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakewood Family Medicine Plc | 0749290740 | 19 |
| Entity Name | Lakewood Family Medicine Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073609392 PECOS PAC ID: 0749290740 Enrollment ID: O20060504000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Victor Smith, 382 N 120th Ave, Holland, MI 49424 Ph: (616) 396-6516 | Timothy Victor Smith, 382 N 120th Ave, Holland, MI 49424 Ph: (616) 396-6516 |
Shaena Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Washington Ave, Holland, MI 49423 Phone: 616-393-8100 Fax: 877-451-0226 | |
Jessica White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-546-4950 Fax: 616-546-4955 | |
Mark Norval Folkening, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Lakeview Ave, Holland, MI 49424 Phone: 616-502-7144 Fax: 616-786-0185 | |
Dr. Yelena V Isayenko, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 588 E Lakewood Blvd, Holland, MI 49424 Phone: 616-494-5800 | |
William Barry Bonzelaar, M.D.032354 Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423 Phone: 616-392-8035 Fax: 616-392-7404 | |
Jon W Kroeze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513 | |
Dan F Kreuzer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 383 Garden Ave, Holland, MI 49424 Phone: 616-494-8271 Fax: 616-494-8273 |