Gregory S Wallin, MD | |
1986 Mall Pl, Benton Harbor, MI 49022-2332 | |
(269) 945-5854 | |
(369) 945-5854 |
Full Name | Gregory S Wallin |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 13 Years |
Location | 1986 Mall Pl, Benton Harbor, 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 |
---|---|---|---|
1790070803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | 036134280 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036134280 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pokagon Band Of Potawatomi Indians | 3476455445 | 11 |
Entity Name | Pokagon Band Of Potawatomi Indians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497833271 PECOS PAC ID: 3476455445 Enrollment ID: O20040121001135 |
Mailing Address | Practice Location Address |
---|---|
Gregory S Wallin, MD 1860 Payshere Circle, Chicago, IL 60674-4035 Ph: (630) 469-9200 | Gregory S Wallin, MD 1986 Mall Pl, Benton Harbor, MI 49022-2332 Ph: (269) 945-5854 |
Dr. Bridget E Reidy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2550 Meadowbrook Road, Benton Harbor, MI 49022 Phone: 269-985-4441 Fax: 269-985-4494 | |
Luis F. Domenech, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1385 East Empire Avenue, Benton Harbor, MI 49022 Phone: 800-979-9595 Fax: 248-662-9845 | |
Dr. Mary Margaret Wolf, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 M-139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-927-5493 | |
Dr. John Maccart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 M-139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-927-5493 |