Daniel Gerard Judge, MD | |
31 N Saint Joseph Ave, Niles, MI 49120-2207 | |
(269) 687-1448 | |
Not Available |
Full Name | Daniel Gerard Judge |
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Gender | Male |
Speciality | Anesthesiology |
Location | 31 N Saint Joseph Ave, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821190059 | NPI | - | NPPES |
102025370 | Medicaid | MI | |
050046347 | Other | MI | CHAMPS |
DJ052510 | Other | MI | BCBSMI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301052510 (Michigan) | Primary |
Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
Mailing Address | Practice Location Address |
---|---|
Daniel Gerard Judge, MD 11869 Range Line Rd, Berrien Springs, MI 49103-9205 Ph: (269) 471-7537 | Daniel Gerard Judge, MD 31 N Saint Joseph Ave, Niles, MI 49120-2207 Ph: (269) 687-1448 |
Janet Meredith, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-5510 | |
Dr. Wendell J Hyink, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 31 N Saint Joseph Ave, Anesthesia Department, Niles, MI 49120 Phone: 269-684-1432 Fax: 269-684-0259 | |
Hugh B Hedman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 |