| Adeline Bauer, OD | |
|
4130 Breton Rd Se Ste A, Kentwood, MI 49512-3808 | |
| (616) 341-1713 | |
| (616) 341-1714 |
| Full Name | Adeline Bauer |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 4130 Breton Rd Se Ste A, Kentwood, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891103818 | NPI | - | NPPES |
| 900E476020 | Other | MI | BLUE CROSS |
| 1871510859 | Medicaid | MI | |
| 0784610001 | Other | MI | MEDICARE NSC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004841 (Michigan) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 4901004841 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ferris State University | 3971572124 | 24 |
| Provider Name | Ferris State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871510859 PECOS PAC ID: 3971572124 Enrollment ID: O20040925000091 |
| Provider Name | West Michigan Contact Lens Specialists Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346963758 PECOS PAC ID: 1153790936 Enrollment ID: O20221219000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Adeline Bauer, OD 4130 Breton Rd Se Ste A, Kentwood, MI 49512-3808 Ph: (616) 341-1713 | Adeline Bauer, OD 4130 Breton Rd Se Ste A, Kentwood, MI 49512-3808 Ph: (616) 341-1713 |
Dr. Megan Marie Cruce, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2974 28th St Se Ste A, Kentwood, MI 49512 Phone: 616-949-2120 | |
Kelly Ehle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2974 28th St Se, Ste A, Kentwood, MI 49512 Phone: 616-949-2120 Fax: 616-949-9015 | |
Dr. Leon James Bangma, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2897 Radcliff Ave Se, Kentwood, MI 49512 Phone: 616-942-2710 Fax: 616-942-8680 | |
James Coon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2974 28th St Se Ste A, Kentwood, MI 49512 Phone: 616-949-2120 | |
Emily Tran-meador, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2350 44th St Se, Kentwood, MI 49508 Phone: 616-281-1011 Fax: 616-281-4941 | |
West Michigan Contact Lens Specialists Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4130 Breton Rd Se Ste A, Kentwood, MI 49512 Phone: 616-341-1713 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2350 44th St Se, Kentwood, MI 49508 Phone: 616-281-1011 |