Gabriel Angelo Devivo, DO | |
2700 Baker St Fl 3, Muskegon, MI 49444-8779 | |
(231) 737-1335 | |
Not Available |
Full Name | Gabriel Angelo Devivo |
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Gender | Male |
Speciality | Family Medicine |
Location | 2700 Baker St Fl 3, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457989428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 5151014223 (Michigan) | Primary |
Entity Name | Hackley Community Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629066238 PECOS PAC ID: 8123015492 Enrollment ID: O20040511001126 |
Mailing Address | Practice Location Address |
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Gabriel Angelo Devivo, DO 1675 Leahy St Ste 315a, Muskegon, MI 49442-5543 Ph: (231) 727-5209 | Gabriel Angelo Devivo, DO 2700 Baker St Fl 3, Muskegon, MI 49444-8779 Ph: (231) 737-1335 |
Dr. Glenn E Merz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St, Ste 301, Muskegon, MI 49442 Phone: 231-728-5007 Fax: 231-728-5014 | |
Leslie N Kingsley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Baker St Fl 3, Muskegon, MI 49444 Phone: 231-737-1335 Fax: 231-737-0534 | |
Dr. Melissa Ann Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2009 Holton Rd, Muskegon, MI 49445 Phone: 616-391-6120 | |
Samara A Champion, MSN, APRN, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Clinton St, Muskegon, MI 49442 Phone: 231-737-1335 | |
Kelsey Lynn Stoddard, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1675 Leahy St Ste 201a, Muskegon, MI 49442 Phone: 231-672-6600 | |
Dr. Fred James Vanalstine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3027 Fax: 231-672-3873 | |
Matthew Neil Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5933 Grand Haven Rd, Muskegon, MI 49441 Phone: 231-799-3300 Fax: 231-799-3322 |