| Vicente M Medalle, MD | |
|
1460 N Center Rd, Burton, MI 48509-1429 | |
| (810) 715-4620 | |
| (810) 715-4602 |
| Full Name | Vicente M Medalle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1460 N Center Rd, Burton, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578546529 | NPI | - | NPPES |
| VM033720 | Other | BLUE CROSS BLUE SHIELD | |
| P00213537 | Other | RAILROAD MEDICARE | |
| 3332980 | Medicaid | MI | |
| 3332962 | Medicaid | MI | |
| 3332971 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301033720 (Michigan) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4301033720 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vicente M Medalle, MD 1460 N Center Rd, Burton, MI 48509-1429 Ph: (810) 715-4620 | Vicente M Medalle, MD 1460 N Center Rd, Burton, MI 48509-1429 Ph: (810) 715-4620 |
Dr. Tara K Byrne, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1096 S Belsay Rd, Suite C, Burton, MI 48509 Phone: 810-743-3351 | |
Kavitha Baddam, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1096 S Belsay Rd Ste E, Burton, MI 48509 Phone: 810-762-1020 Fax: 810-762-1042 |