Dr Ann M Busha, MD | |
3300 W Centre Ave, Portage, MI 49024-4666 | |
(269) 324-8950 | |
(269) 324-2134 |
Full Name | Dr Ann M Busha |
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Gender | Female |
Speciality | Family Medicine |
Location | 3300 W Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114091964 | NPI | - | NPPES |
207371907 | Medicaid | MO | |
200979440 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2005013260 (Missouri) | Secondary |
207Q00000X | Family Medicine | 01067729A (Indiana) | Secondary |
207Q00000X | Family Medicine | 4301508200 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
---|---|
Dr Ann M Busha, MD 601 John Street, Box 42, Kalamazoo, MI 49007 Ph: () - | Dr Ann M Busha, MD 3300 W Centre Ave, Portage, MI 49024-4666 Ph: (269) 324-8950 |
Brandon J Manderle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Carolyn Von Maur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Road, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 | |
Remnant Mwanahiba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Amber Darey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Lawrence Ulmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 Fax: 269-324-8617 | |
Dr. Miriam Yvonne Veldt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2725 Airview Blvd, Suite 105, Portage, MI 49002 Phone: 269-349-8386 Fax: 269-349-8397 |