Dr Elexus-ember Aleczandria Vanham, DO | |
1 Atkinson Dr, Ludington, MI 49431-1906 | |
(606) 218-5250 | |
Not Available |
Full Name | Dr Elexus-ember Aleczandria Vanham |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1 Atkinson Dr, Ludington, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336763275 | NPI | - | NPPES |
1336763275 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5315225350 (Michigan) | Primary |
Entity Name | Visionary Medical Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
Entity Name | Ecs Central Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043711930 PECOS PAC ID: 9931462132 Enrollment ID: O20180423001965 |
Entity Name | Ecs Western Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
Mailing Address | Practice Location Address |
---|---|
Dr Elexus-ember Aleczandria Vanham, DO 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 Ph: (616) 975-1845 | Dr Elexus-ember Aleczandria Vanham, DO 1 Atkinson Dr, Ludington, MI 49431-1906 Ph: (606) 218-5250 |
Dawn Clark Barber, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2390 Fax: 231-845-2240 | |
Dr. Michelle Sue Cranick-kuster, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2288 Fax: 231-845-2240 | |
Steven Strbich, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 North Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2390 Fax: 231-845-2240 | |
Zachary Peter Hamersma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-843-2591 | |
William Maurice Kokx, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 North Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2288 Fax: 231-845-2240 | |
Zachary Ronald Vanderlaan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-843-2591 |