David E Thompson, MD | |
4070 Lake Dr Se, Ste 103, Grand Rapids, MI 49546-8294 | |
(616) 949-4340 | |
(616) 949-4341 |
Full Name | David E Thompson |
---|---|
Gender | Male |
Speciality | Urology |
Location | 4070 Lake Dr Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972612919 | NPI | - | NPPES |
2648202 | Medicaid | MI | |
340003125 | Other | RAILROAD MEDICARE | |
340D160430 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301055697 (Michigan) | Primary |
Entity Name | Advantage Health/saint Mary's Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Mailing Address | Practice Location Address |
---|---|
David E Thompson, MD 4070 Lake Dr Se, Ste 103, Grand Rapids, MI 49546-8294 Ph: (616) 949-4340 | David E Thompson, MD 4070 Lake Dr Se, Ste 103, Grand Rapids, MI 49546-8294 Ph: (616) 949-4340 |
Erik M Ratchford, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 245 Cherry St Se,, Suite 202, Grand Rapids, MI 49503 Phone: 616-459-3551 Fax: 616-459-1060 | |
Alexander Michael Shannon, DO Urology Medicare: Medicare Enrolled Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333 | |
Dr. John Glenn Anema, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Dr. Hector Pimentel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333 | |
Dr. George Francis Steinhardt, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Theodore Dale Barber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044 | |
Richard Kahnoski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546 Phone: 616-774-9333 |