Charles Raymer, MD | |
3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 | |
(269) 556-6000 | |
Not Available |
Full Name | Charles Raymer |
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Gender | Male |
Speciality | Surgery |
Location | 3901 Stonegate Park Ste 300, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215321138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 1013419 (Massachusetts) | Secondary |
208600000X | Surgery | 4301512245 (Michigan) | Primary |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Charles Raymer, MD 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 Ph: (269) 556-6000 | Charles Raymer, MD 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 Ph: (269) 556-6000 |
Dr. Allison Cristine Vaughan, DO Surgery Medicare: Medicare Enrolled Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Stephen Francis Komara, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Dr. Kourosh Baghelai, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Niles Rd Ste 6, Saint Joseph, MI 49085 Phone: 269-408-1660 Fax: 269-408-1665 | |
Dennis Allen Rasbach, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2990 Niles Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Dr. Roy E Winslow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 | |
Ted Sugimoto, MD Surgery Medicare: Medicare Enrolled Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 |