David Michael Childress, MD | |
1500 E Sherman Blvd, Muskegon, MI 49443 | |
(231) 739-9341 | |
Not Available |
Full Name | David Michael Childress |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1500 E Sherman Blvd, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568409043 | NPI | - | NPPES |
DC076022 | Other | MI | BCBS |
104735174 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301076022 (Michigan) | Primary |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
---|---|
David Michael Childress, MD Po Box 673397, Detroit, MI 48267 Ph: (866) 898-7139 | David Michael Childress, MD 1500 E Sherman Blvd, Muskegon, MI 49443 Ph: (231) 739-9341 |
Christopher Jonathan Hummel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9341 | |
Dr. Hans Christian Bruntmyer, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 Phone: 231-672-6336 Fax: 231-672-6335 | |
Marc Emmett Whitaker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49443 Phone: 231-739-9343 | |
Dr. James P Farinosi, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Oak Ave, Muskegon, MI 49442 Phone: 231-672-6430 | |
Nicholas M Mcmanus, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-727-5250 Fax: 231-727-5248 | |
Dr. Lucas Leete, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-4601 | |
Thomas K Vu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-726-3511 |