Dr Mary C Haller, MD | |
500 Campus Dr, Hancock, MI 49930-1569 | |
(906) 483-1730 | |
(906) 483-1380 |
Full Name | Dr Mary C Haller |
---|---|
Gender | Female |
Speciality | Internal Medicine - Rheumatology |
Location | 500 Campus Dr, Hancock, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487607230 | NPI | - | NPPES |
102928716 | Medicaid | MI | |
MH048076 | Other | MI | BLUECROSS STATE ID |
0829560001 | Other | MI | MEDICARE DME |
0C16002 | Other | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | MI43048076 (Michigan) | Primary |
Entity Name | Portage Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary C Haller, MD 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1730 | Dr Mary C Haller, MD 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1730 |
Dr. Terry Kinzel, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Drive, Hancock, MI 49930 Phone: 906-483-1300 | |
Sigurds Janners, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 920 W Water St, Suite 2, Hancock, MI 49930 Phone: 906-482-6705 Fax: 906-487-8053 | |
Vandana Chatterjee, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1730 Fax: 906-483-1270 | |
Lori E Vaughan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Dr. Ronald A Voice, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Dr. Brooke Dawn Nicole Esteves, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |