Bradley T Vanassche, MD | |
1114 Charlevoix Ave, Petoskey, MI 49770-9701 | |
(231) 439-9700 | |
(231) 439-9709 |
Full Name | Bradley T Vanassche |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 1114 Charlevoix Ave, Petoskey, 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 |
---|---|---|---|
1497775514 | NPI | - | NPPES |
3152928 | Medicaid | MI | |
P00957391 | Other | MI | RR MEDICARE PTAN |
300Z460020 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301055847 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | BV055847 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology Services Pc | 4284546516 | 237 |
Entity Name | Advanced Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
Entity Name | Cedar Straits Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568656932 PECOS PAC ID: 3577591395 Enrollment ID: O20050802000439 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20191106001408 |
Mailing Address | Practice Location Address |
---|---|
Bradley T Vanassche, MD 1114 Charlevoix Ave, Petoskey, MI 49770-9701 Ph: (231) 439-9700 | Bradley T Vanassche, MD 1114 Charlevoix Ave, Petoskey, MI 49770-9701 Ph: (231) 439-9700 |
Dr. Nel Rainier Go, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4289 | |
Michael A Angileri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 | |
William E Henry, MD Radiology Medicare: Medicare Enrolled Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 | |
Dr. Matthew L Visconti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1114 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-439-9700 Fax: 231-439-9709 | |
Dr. Peter Scott Armstrong, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4209 Fax: 231-487-7840 | |
William K Riordan, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 |