Alexander Shelton Judy, MD | |
440 Woodward Ave, Iron Mountain, MI 49801-4631 | |
(900) 677-6904 | |
(906) 774-7279 |
Full Name | Alexander Shelton Judy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 440 Woodward Ave, Iron Mountain, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730189663 | NPI | - | NPPES |
080099765 | Other | MI | RAILROAD MEDICARE |
32319900 | Medicaid | WI | |
3366460 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 063937 (Michigan) | Primary |
Entity Name | Yukon-kuskokwim Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Mailing Address | Practice Location Address |
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Alexander Shelton Judy, MD 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (900) 677-6904 | Alexander Shelton Judy, MD 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (900) 677-6904 |
Robert G. Scharffenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Gregory William Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ellen E Van Laanen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Beth Ann Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 | |
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Aldo John Domenichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Dr. Daniel M Mitchell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 |