Elmer William Fowler Jr, DO PL | |
3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 | |
(616) 954-1991 | |
(616) 954-1998 |
Full Name | Elmer William Fowler Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 46 Years |
Location | 3351 Claystone St 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 |
---|---|---|---|
1760581524 | NPI | - | NPPES |
26221802854050 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101007546 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Mental Health For Central Michigan | 4688660533 | 42 |
Pine Rest Christian Mental Health Services | 4981506508 | 314 |
Entity Name | Pine Rest Christian Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
Entity Name | Community Mental Health For Central Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040812000187 |
Mailing Address | Practice Location Address |
---|---|
Elmer William Fowler Jr, DO PL 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 Ph: (616) 954-1991 | Elmer William Fowler Jr, DO PL 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 Ph: (616) 954-1991 |
Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864 | |
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-267-7104 | |
Subodh Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820 | |
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1545 68th St Se Ste 200, Grand Rapids, MI 49508 Phone: 616-447-5820 | |
Dr. Austin Lee Van Velsen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857 | |
Dr. Justin Royer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857 |