Cynthia Statler, MD | |
14734 Park Ave, Charlevoix, MI 49720-1927 | |
(231) 547-6554 | |
(231) 547-1179 |
Full Name | Cynthia Statler |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 14734 Park Ave, Charlevoix, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649291048 | NPI | - | NPPES |
4275056 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301060609 (Michigan) | Primary |
Entity Name | Michigan Therapeutic Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598932253 PECOS PAC ID: 0749534816 Enrollment ID: O20181109000144 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Statler, MD 14734 Park Ave, Charlevoix, MI 49720-1927 Ph: (231) 547-6554 | Cynthia Statler, MD 14734 Park Ave, Charlevoix, MI 49720-1927 Ph: (231) 547-6554 |
Rachel Beth Newman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Dr. Roderic E Tinney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Dr. Megan Hooper Coggon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14719 W Upright St Bldg C, Charlevoix, MI 49720 Phone: 231-547-3840 | |
Dr. Joshua R Meyerson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 220 W Garfield Ave, Charlevoix, MI 49720 Phone: 231-547-6523 Fax: 231-547-6238 |