Dr Mark A Dittenbir, MD | |
601 John St Ste M283a, Kalamazoo, MI 49007-5341 | |
(269) 349-7696 | |
(269) 488-8313 |
Full Name | Dr Mark A Dittenbir |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 601 John St Ste M283a, Kalamazoo, 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 |
---|---|---|---|
1942249727 | NPI | - | NPPES |
020C91020 | Other | MI | BCBS GRP PIN |
3403901640 | Other | MI | BCBS IND PIN |
5515041 | Other | AETNA PIN | |
116658 | Other | GREAT LAKES HLTH PLN | |
1417961137 | Other | MI | BCBSM - BRONSON |
1942249727 | Medicaid | MI | |
3218986-10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301048692 (Michigan) | Secondary |
208600000X | Surgery | 4301048692 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi St Alexius Health | Bismarck, ND | Hospital |
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
St James Healthcare | Butte, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scl Health Medical Group-butte Llc | 2466633102 | 69 |
St Alexius Medical Center | 8426960865 | 220 |
Entity Name | Scl Health Medical Group-butte Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark A Dittenbir, MD 601 John St, Suite M283a, Kalamazoo, MI 49007-5341 Ph: (269) 349-7696 | Dr Mark A Dittenbir, MD 601 John St Ste M283a, Kalamazoo, MI 49007-5341 Ph: (269) 349-7696 |
Dr. Kibwe Akin Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-488-1524 Fax: 269-488-1655 | |
Dr. Stephen Todd Wysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-349-7696 Fax: 269-349-0610 | |
Dr. Krishna Mohan Jain, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1815 Henson Ave, Kalamazoo, MI 49048 Phone: 269-492-6500 Fax: 269-492-6461 | |
Dr. Nathan Mandel Mollberg, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-460, Kalamazoo, MI 49007 Phone: 269-341-7333 Fax: 269-341-7371 | |
Dr. David Brandon Minnick, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-349-7696 Fax: 269-488-8313 | |
Marc Thomas Downing, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M351, Kalamazoo, MI 49007 Phone: 269-341-6900 Fax: 269-341-7883 | |
Jason Thomas Ryan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1535 Gull Rd Ste 20, Kalamazoo, MI 49048 Phone: 269-381-4577 |