Benjamin P Roose, MD | |
927 S Carmel St, Cadillac, MI 49601-2547 | |
(231) 876-3876 | |
(231) 775-1115 |
Full Name | Benjamin P Roose |
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Gender | Male |
Speciality | Surgery |
Location | 927 S Carmel St, Cadillac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609286509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036.150773 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Benjamin P Roose, MD 1105 Sixth St, Traverse City, MI 49684-2386 Ph: () - | Benjamin P Roose, MD 927 S Carmel St, Cadillac, MI 49601-2547 Ph: (231) 876-3876 |
Terrence Wayne Tatarchuk, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8795 Pine Ridge Dr, Suite B, Cadillac, MI 49601 Phone: 231-775-1306 Fax: 231-775-9701 | |
Dr. Kent Calvin Bowden, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 S Carmel St, Cadillac, MI 49601 Phone: 231-876-3876 Fax: 231-775-1115 | |
Dr. Louis Charles Tegtmeyer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 S Carmel St, Cadillac, MI 49601 Phone: 231-876-3876 Fax: 231-775-1115 | |
Dr. Timothy Matthew Iseri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Carmel St, Cadillac, MI 49601 Phone: 231-876-3876 Fax: 231-775-1115 | |
Glenn P Verbrugge, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 927 Carmel St, Cadillac, MI 49601 Phone: 231-876-3876 Fax: 231-775-1115 |