Barbara J Boyd, MD | |
122 Grant St, Niles, MI 49120-2281 | |
(269) 687-1136 | |
(269) 684-0189 |
Full Name | Barbara J Boyd |
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Gender | Female |
Speciality | Pediatrics |
Location | 122 Grant St, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417981549 | NPI | - | NPPES |
2733528 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301050303 (Michigan) | Secondary |
208000000X | Pediatrics | 4301050303 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Barbara J Boyd, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 471-7741 | Barbara J Boyd, MD 122 Grant St, Niles, MI 49120-2281 Ph: (269) 687-1136 |
Dr. Lois G Lello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Dr. Christopher J Harvey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Sunil John, Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 | |
Dr. Leanne M Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-684-0200 Fax: 269-684-0199 | |
Aileen Jo Vitangcol, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Lee Morris, Pediatrics Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-985-4632 |