Dr Madelon K Krissoff, MD | |
233 E. Fulton, Suite #102, Grand Rapids, MI 49503 | |
(616) 744-2588 | |
(616) 744-6839 |
Full Name | Dr Madelon K Krissoff |
---|---|
Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 233 E. Fulton, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134340003 | NPI | - | NPPES |
4116499 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 4301406025 (Michigan) | Primary |
Entity Name | Inpatient Consultants Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861442824 PECOS PAC ID: 6709891286 Enrollment ID: O20060221000260 |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Mailing Address | Practice Location Address |
---|---|
Dr Madelon K Krissoff, MD 515 Lakeside Drive Se, Suite 103, East Grand Rapids, MI 49506 Ph: (616) 774-2588 | Dr Madelon K Krissoff, MD 233 E. Fulton, Suite #102, Grand Rapids, MI 49503 Ph: (616) 744-2588 |
Maureen Tan Pedres, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |