Bennett L Willard, DO | |
2060 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | |
(616) 285-1377 | |
(616) 285-1154 |
Full Name | Bennett L Willard |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 42 Years |
Location | 2060 E Paris Ave Se Ste 200, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134186513 | NPI | - | NPPES |
555410027 | Other | MI | BCBSM |
4610008-11 | Medicaid | MI | |
4535360-11 | Medicaid | MI | |
4609992-11 | Medicaid | MI | |
5212687-11 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 5101008161 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101008161 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Metro Health Hospital | Wyoming, MI | Hospital |
Spectrum Health Zeeland Community Hospital | Zeeland, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Pain Consultants Pc | 8426959099 | 23 |
Entity Name | Michigan Pain Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094 |
Mailing Address | Practice Location Address |
---|---|
Bennett L Willard, DO 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662 | Bennett L Willard, DO 2060 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377 |
Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345 | |
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Daniel Mark Mankoff, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377 |