Dr James Wallace Robertson, MD | |
5024 N Royal Dr, Traverse City, MI 49684-9230 | |
(231) 935-0555 | |
(231) 935-0562 |
Full Name | Dr James Wallace Robertson |
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Gender | Male |
Speciality | Pediatrics |
Location | 5024 N Royal Dr, Traverse 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 |
---|---|---|---|
1457357832 | NPI | - | NPPES |
1065685 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301065685 (Michigan) | Primary |
Entity Name | Helen Newberry Joy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972650935 PECOS PAC ID: 5799671285 Enrollment ID: O20040317000546 |
Entity Name | Munson Healthcare Grayling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
Mailing Address | Practice Location Address |
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Dr James Wallace Robertson, MD 5024 N Royal Dr, Traverse City, MI 49684-9230 Ph: (231) 935-0555 | Dr James Wallace Robertson, MD 5024 N Royal Dr, Traverse City, MI 49684-9230 Ph: (231) 935-0555 |
Dr. Jelanie Rae Bush, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3537 W Front St, Suite G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837 | |
Cynthia Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5024 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0555 Fax: 231-935-0562 | |
Dr. Claire Ward, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 447 Munson Ave, Traverse City, MI 49686 Phone: 231-929-9090 Fax: 231-929-9092 | |
Dr. Lisa Chimner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837 | |
Jacques Burgess, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 Fax: 231-346-6017 | |
Dr. Andrew David Tursman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837 | |
Dr. Ann Timmermann Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7835 Truesdale Lane, Traverse City, MI 49686 Phone: 231-631-0411 |