Dr Kenneth Scott Heeringa, DO | |
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 | |
(616) 364-4200 | |
(616) 364-7347 |
Full Name | Dr Kenneth Scott Heeringa |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 3333 Evergreen Dr Ne, 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 |
---|---|---|---|
1972582567 | NPI | - | NPPES |
4478999 | Medicaid | MI | |
1972582567 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 1803 (Wisconsin) | Secondary |
207L00000X | Anesthesiology | 5101013374 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - Janesville | Janesville, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Monroe Clinic Inc | 3072425495 | 155 |
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | The Monroe Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
Entity Name | Dean Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Scott Heeringa, DO 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200 | Dr Kenneth Scott Heeringa, 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 | |
Dr. Jeffrey M Ricketts, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
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 |