| Jeffrey R Williamson Do Pc | |
|
6785 Myers Lake Ave Ne Rockford MI 49341 | |
| (616) 884-5191 | |
| (616) 884-5192 |
| Full Name | Jeffrey R Williamson Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6785 Myers Lake Ave Ne, Rockford, Michigan |
| Authorized Official Name and Position | Kathy Jo Uecker (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2694209404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey R Williamson Do Pc Po Box 260 6785 Myers Lake Ave Ne Rockford MI 49341-7416 Ph: (616) 884-5191 | Jeffrey R Williamson Do Pc 6785 Myers Lake Ave Ne Rockford MI 49341 Ph: (616) 884-5191 |
| NPI Number | 1750443750 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 4082632617 |
|---|---|
| Medicare Enrollment ID | O20051102000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750443750 | NPI | - | NPPES |
| 48109028 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | JW011762 (Michigan) | Primary |
| Provider Name | Jeffrey Robert Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881641165 PECOS PAC ID: 5294789053 Enrollment ID: I20050304000538 |
| Provider Name | Gretchen C Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235152935 PECOS PAC ID: 3274631452 Enrollment ID: I20100422000417 |
| Provider Name | David M Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578026969 PECOS PAC ID: 3173858370 Enrollment ID: I20220630002425 |
Sageoak Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7440 Sunfish Woods Ct, Rockford, MI 49341 Phone: 616-560-2861 | |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 E Division St, Rockford, MI 49341 Phone: 616-863-3150 | |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Meadowcreek Dr, Rockford, MI 49341 Phone: 616-825-7625 | |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 E Division St, Rockford, MI 49341 Phone: 616-974-4884 | |
Robert Dejonge Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Northland Dr Ne, Rockford, MI 49341 Phone: 616-866-4474 Fax: 616-866-4476 | |
Michigan Nutrigenetics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6701 Boca Vista Dr Ne Unit 102, Rockford, MI 49341 Phone: 616-255-5338 |