Dr Jeffrey M Ricketts, DO | |
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 | |
(616) 364-4200 | |
(616) 364-7347 |
Full Name | Dr Jeffrey M Ricketts |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033172184 | NPI | - | NPPES |
3318293 | Medicaid | MI | |
050D110480 | Other | MI | BCBS GROUP BILL PIN |
5410038 | Other | MI | BCBS PIN |
JR008399 | Other | MI | BCBS LICENSE NUMBER |
050054284 | Other | MI | RAILROAD MEDICARE |
CE1952 | Other | MI | RAILROAD GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 5101008399 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey M Ricketts, DO 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200 | Dr Jeffrey M Ricketts, DO 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200 |
Matthew H Armstrong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 | |
Daniel H. Robinson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Cheryl Lukins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503 Phone: 616-391-3245 | |
Christopher Ross Russo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086 | |
Samuel Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 | |
Dr. Cindy Chu, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 |