Dr Theodore W Collins, DO | |
135 E M35, Gwinn, MI 49841-9160 | |
(906) 346-9275 | |
Not Available |
Full Name | Dr Theodore W Collins |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 135 E M35, Gwinn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801845904 | NPI | - | NPPES |
68704089 | Medicaid | NM | |
200974420A | Medicaid | KS | |
614788800 | Other | KS | DEPT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0521005 (Kansas) | Secondary |
207Q00000X | Family Medicine | 5101015879 (Michigan) | Primary |
Entity Name | Kansas Carenow Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255883682 PECOS PAC ID: 8527340702 Enrollment ID: O20170124000398 |
Entity Name | Nes Missouri Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073161451 PECOS PAC ID: 2365403615 Enrollment ID: O20190926001567 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore W Collins, DO 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 483-1130 | Dr Theodore W Collins, DO 135 E M35, Gwinn, MI 49841-9160 Ph: (906) 346-9275 |
Catherine A Kroll, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 E. M-35, Gwinn, MI 49841 Phone: 906-346-9275 | |
Kimberley Ann Suhanic, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-4924 | |
Lynn M Barry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474 | |
Dr. Mitzi Colleen Amelon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-372-3230 |