Dr Phillip Louis Badra, MD is a
Obstetrics & Gynecology physician based in Fennville, Michigan. Dr Phillip Louis Badra is licensed to practice in Michigan (license number 4301029367) and his current practice location is 2230 Lakeshore Drive, Fennville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 543-4620.
NPI number for Dr Phillip Louis Badra is 1578658027 and his current mailing address is 2230 Lakeshore Drive, Fennville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578658027.
Physician's Profile
| Full Name | Dr Phillip Louis Badra |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 2230 Lakeshore Drive, Fennville, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578658027
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Phillip Louis Badra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578658027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 4301029367 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Phillip Louis Badra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Phillip Louis Badra, MD
2230 Lakeshore Drive,
Fennville, MI 49408
Ph: (269) 543-4620 | Dr Phillip Louis Badra, MD
2230 Lakeshore Drive,
Fennville, MI 49408
Ph: (269) 543-4620 |
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