Dr Marybeth Hines, DO | |
500 Campus Dr, Hancock, MI 49930-1569 | |
(906) 483-1000 | |
(906) 483-1103 |
Full Name | Dr Marybeth Hines |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1497704480 | NPI | - | NPPES |
0829560001 | Other | MI | MEDICARE DME |
0C16002 | Other | MI | MEDICARE GROUP |
MH010262 | Other | MI | BLUECROSS STATE ID |
114509440 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MI51010262 (Michigan) | Primary |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Entity Name | Portage Physician Practices Inc |
---|---|
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 Marybeth Hines, DO 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1000 | Dr Marybeth Hines, DO 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1000 |
Emily Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1270 | |
William Sarazin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Andrea Kay Bouman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Dawn Nulf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Dr. Kirk C Lufkin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1103 | |
Jonathan Neufeld, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1103 |