Dr David Louis Weatherly, MD | |
25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | |
(616) 459-4171 | |
(616) 459-0044 |
Full Name | Dr David Louis Weatherly |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 14 Years |
Location | 25 Michigan St Ne Ste 3300, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558672998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301096915 (Michigan) | Secondary |
2088P0231X | Urology - Pediatric Urology | 4301096915 (Michigan) | Secondary |
208800000X | Urology | 4301096915 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Institute Of Urology Pc | 1052223492 | 75 |
Entity Name | Michigan Institute Of Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Entity Name | Urologic Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598865735 PECOS PAC ID: 2567457633 Enrollment ID: O20040417000532 |
Mailing Address | Practice Location Address |
---|---|
Dr David Louis Weatherly, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Dr David Louis Weatherly, MD 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 Ph: (616) 459-4171 |
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 |