Dr Thomas Michael Witham, MD | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(616) 942-9610 | |
Not Available |
Full Name | Dr Thomas Michael Witham |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 200 Jefferson Ave Se, 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 |
---|---|---|---|
1982823639 | NPI | - | NPPES |
P00434448 | Other | RAILROAD MEDICARE | |
5218377 | Medicaid | MI | |
TW084261 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301084261 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand River Emergency Medical Group Plc | 3274425905 | 25 |
Entity Name | Grand River Emergency Medical Group Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Michael Witham, MD Po Box Q, Grand Rapids, MI 49501-4917 Ph: (800) 968-6866 | Dr Thomas Michael Witham, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 942-9610 |
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310 | |
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846 | |
Andrew Steven Coleman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Steven Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 800-968-6866 | |
Colleen M Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 |