Dr Gregory A Bohn, MD | |
295 Maple St Ste 200, Tawas City, MI 48763-9352 | |
(989) 984-3788 | |
(989) 984-3794 |
Full Name | Dr Gregory A Bohn |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 295 Maple St Ste 200, Tawas City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174597702 | NPI | - | NPPES |
38079 | Other | BCWELLMARK | |
IA01X1 | Other | JOHN DEERE | |
3091884 | Medicaid | IA | |
1174597702 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036089196 (Illinois) | Secondary |
208600000X | Surgery | 29059 (Iowa) | Primary |
Entity Name | Shc Medical Center Toppenish |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
Entity Name | Lourdes Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory A Bohn, MD Po Box 779, Tawas City, MI 48764-0779 Ph: (989) 362-9411 | Dr Gregory A Bohn, MD 295 Maple St Ste 200, Tawas City, MI 48763-9352 Ph: (989) 984-3788 |
Surya Sankaran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 651 M 55 E, Tawas City, MI 48763 Phone: 989-362-8681 Fax: 989-362-3321 | |
Dr. Mark A Gallagher, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 295 Maple St, Suite 200, Tawas City, MI 48763 Phone: 989-984-3788 | |
Cynthia Michelle Payne, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 295 Maple St Ste 200, Tawas City, MI 48763 Phone: 989-984-3788 Fax: 989-984-3794 |