Dr Stanley Charles Sedore, MD, PHD | |
25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | |
(616) 267-9150 | |
(616) 267-1408 |
Full Name | Dr Stanley Charles Sedore |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 14 Years |
Location | 25 Michigan St Ne Ste 4200, Grand Rapids, 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 |
---|---|---|---|
1306163092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 4301112035 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Health Primary Care Partners | 4587568647 | 1590 |
Entity Name | Spectrum Health Primary Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Entity Name | Munson Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
Entity Name | Spectrum Health Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley Charles Sedore, MD, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Stanley Charles Sedore, MD, PHD 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 Ph: (616) 267-9150 |
Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897 | |
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118 | |
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999 | |
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999 | |
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810 | |
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191 |