Dr Timothy L Beechnau, DO | |
12520 Crockery Creek Dr., Ravenna, MI 49451 | |
(231) 853-6725 | |
(231) 853-6089 |
Full Name | Dr Timothy L Beechnau |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 43 Years |
Location | 12520 Crockery Creek Dr., Ravenna, 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 |
---|---|---|---|
1083619936 | NPI | - | NPPES |
5610010 | Other | MI | BCN |
383249263 | Other | MA | TAX ID |
4098417 | Other | MI | AETNA |
4480790 | Medicaid | MI | |
383249263 | Other | MI | PRIORITY HEALTH |
5610010 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 008430 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Hackley Campus | Muskegon, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ravenna Family Practice Pc | 8224023148 | 3 |
Entity Name | Mercy Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
Entity Name | Ravenna Family Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497928469 PECOS PAC ID: 8224023148 Enrollment ID: O20040423001167 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy L Beechnau, DO Po Box 179, Ravenna, MI 49451-0179 Ph: (231) 853-6725 | Dr Timothy L Beechnau, DO 12520 Crockery Creek Dr., Ravenna, MI 49451 Ph: (231) 853-6725 |
Kyle Stanley Pline, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1042 S Ravenna Rd, Ravenna, MI 49451 Phone: 231-853-2519 Fax: 231-853-2838 | |
Dr. Bonnie Jean Pline, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1042 S. Ravenna Rd., Ravenna, MI 49451 Phone: 231-853-2519 Fax: 231-853-2838 |