Gregory J Fortin, MD | |
5020 W Bristol Rd, Flint, MI 48507-2919 | |
(810) 732-1620 | |
(810) 732-8559 |
Full Name | Gregory J Fortin |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 5020 W Bristol Rd, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295707487 | NPI | - | NPPES |
0210222032 | Other | MI | HEALTHPLUS OF MICHIGAN |
204107 | Other | MI | MCLAREN HEALTH PLAN/ADVAN |
B63761 | Other | MI | HEALTH ALLIANCE PLAN |
382237803112 | Other | MI | COMMUNITY CHOICE |
4294605 | Other | MI | AETNA |
105381 | Other | MI | PREFERRED CHOICE PPO |
105381 | Other | MI | CARE CHOICE HMO |
109241 | Other | ME | GREAT LAKES HEALTH PLAN |
2607980 | Medicaid | MI | |
0202532841 | Other | MI | BC/BS OF MICHIGAN |
C1986 | Other | MI | M-CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | GF048390 (Michigan) | Primary |
Entity Name | Hurley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
Mailing Address | Practice Location Address |
---|---|
Gregory J Fortin, MD 5020 W Bristol Rd, Flint, MI 48507-2919 Ph: (810) 732-1620 | Gregory J Fortin, MD 5020 W Bristol Rd, Flint, MI 48507-2919 Ph: (810) 732-1620 |
Pongchayut Surapipith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 S Ballenger Hwy, Flint, MI 48532 Phone: 810-342-1000 Fax: 810-342-1590 | |
Douglas Matthew Iddings, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 Kensington Ave, Flint, MI 48503 Phone: 810-762-8092 Fax: 810-762-8892 | |
Tyler Wundrach, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 1 Hurley Plz # 7b, Flint, MI 48503 Phone: 810-262-9355 Fax: 810-262-6341 | |
Dr. Linsey P Gold, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2486 Nerredia St, Suite A, Flint, MI 48532 Phone: 810-720-9900 Fax: 810-720-0011 | |
Dr. Ghassan Al Ramahi, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: One Hurley Plaza, 7b Floor , Trauma Service, Flint, MI 48503 Phone: 810-262-9456 Fax: 810-262-6341 | |
Dr. Tareq Ismail Maraqa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-6023 | |
Mr. Tarik J Wasfie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1127 Villa Linde Ct, Flint, MI 48532 Phone: 810-720-2710 Fax: 810-720-5230 |