Glen Howard Hastings, MD | |
2990 Niles Rd, Saint Joseph, MI 49085-8607 | |
(269) 983-3368 | |
(269) 983-2758 |
Full Name | Glen Howard Hastings |
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Gender | Male |
Speciality | Surgery |
Location | 2990 Niles Rd, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669439550 | NPI | - | NPPES |
4170368 10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301 406148 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
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Glen Howard Hastings, MD 2990 Niles Rd, Saint Joseph, MI 49085-8607 Ph: (269) 983-3368 | Glen Howard Hastings, MD 2990 Niles Rd, Saint Joseph, MI 49085-8607 Ph: (269) 983-3368 |
Charles Raymer, MD Surgery Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085 Phone: 269-556-6000 | |
Dr. Allison Cristine Vaughan, DO Surgery Medicare: Medicare Enrolled Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Stephen Francis Komara, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Dr. Kourosh Baghelai, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Niles Rd Ste 6, Saint Joseph, MI 49085 Phone: 269-408-1660 Fax: 269-408-1665 | |
Dennis Allen Rasbach, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2990 Niles Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Dr. Roy E Winslow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 | |
Ted Sugimoto, MD Surgery Medicare: Medicare Enrolled Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 |