Charles Jay Vandenberg Iv, DO | |
1293 E Parkdale Ave, Manistee, MI 49660-8904 | |
(231) 398-1840 | |
Not Available |
Full Name | Charles Jay Vandenberg Iv |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 1293 E Parkdale Ave, Manistee, 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 |
---|---|---|---|
1750638516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2012020880 (Missouri) | Secondary |
207R00000X | Internal Medicine | 5101021764 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Home Care | Traverse city, MI | Home health agency |
Northern Home Care | Hart, MI | Home health agency |
Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
Manistee County Medical Care Facility | Manistee, MI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munson Healthcare Manistee Hospital | 3072414333 | 22 |
Entity Name | Munson Healthcare Manistee Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649457771 PECOS PAC ID: 3072414333 Enrollment ID: O20040119000647 |
Mailing Address | Practice Location Address |
---|---|
Charles Jay Vandenberg Iv, DO 1391 E Parkdale Ave, Manistee, MI 49660-9352 Ph: (231) 398-1760 | Charles Jay Vandenberg Iv, DO 1293 E Parkdale Ave, Manistee, MI 49660-8904 Ph: (231) 398-1840 |
Ryan A Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2198 Us Highway 31 S, Manistee, MI 49660 Phone: 231-723-3567 | |
Dr. Raymond Edward Schmoke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1806 East Parkdale Avenue, Manistee, MI 49660 Phone: 231-723-3567 Fax: 231-723-1767 |