Dr Mark Ryan Nikkel, DO | |
955 S Bailey Ave, South Haven, MI 49090-6743 | |
(269) 637-5271 | |
(269) 639-2818 |
Full Name | Dr Mark Ryan Nikkel |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 23 Years |
Location | 955 S Bailey Ave, South Haven, 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 |
---|---|---|---|
1699762336 | NPI | - | NPPES |
1023138633 | Other | IL | GROUP NPI NUMBER |
31622992 | Other | IL | BCBS |
036-100980 | Other | IL | STATE LICENSE NUMBER |
036100980 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 36100980 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bronson South Haven Hospital | South haven, MI | Hospital |
Bronson Lakeview Hospital | Paw paw, MI | Hospital |
Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bronson South Haven Hospital | 6204724834 | 36 |
Entity Name | Bronson South Haven Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
Entity Name | Bronson Lakeview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
Entity Name | Bronson Lakeview Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1962508259 PECOS PAC ID: 9032008495 Enrollment ID: O20080516000276 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Ryan Nikkel, DO 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 637-5271 | Dr Mark Ryan Nikkel, DO 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 637-5271 |
Dr. Nicholas Loafman, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2866 Fax: 269-639-2864 |