Greg A Hodder, MD | |
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
(734) 712-3456 | |
Not Available |
Full Name | Greg A Hodder |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497782098 | NPI | - | NPPES |
GH070381 | Other | MI | BLUE SHIELD |
104842530 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 070381 (Michigan) | Primary |
Entity Name | Sparrow Ionia Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
Entity Name | Sparrow Ionia Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20060322000295 |
Mailing Address | Practice Location Address |
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Greg A Hodder, MD 4059 Corey Cir, Ann Arbor, MI 48103-9477 Ph: () - | Greg A Hodder, MD 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3456 |
Charmaine R Gregory, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Dr. Tanya Boldenow, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3935 | |
Dr. Monique Reeves, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-6869 Fax: 734-544-6704 | |
Kim Marie Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Robert M Fields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Joseph Donovan Dixon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Iha Palliative Care, 5301 E Huron River Drive Suite 2119, Ypsilanti, MI 48197 Phone: 734-712-7255 | |
Dr. Lee Benjamin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3962 |