Jared Thompson, DO | |
2215 44th St Sw, Wyoming, MI 49519-6439 | |
(616) 252-8300 | |
Not Available |
Full Name | Jared Thompson |
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Gender | Male |
Speciality | Pediatrics |
Location | 2215 44th St Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841604089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | O-1006 (Idaho) | Secondary |
208000000X | Pediatrics | 5101021211 (Michigan) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
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Jared Thompson, DO 2215 44th St Sw, Wyoming, MI 49519-6439 Ph: () - | Jared Thompson, DO 2215 44th St Sw, Wyoming, MI 49519-6439 Ph: (616) 252-8300 |
Robert Bulten, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4340 Burlingame Ave Sw, Wyoming, MI 49509 Phone: 616-475-7922 Fax: 616-475-7926 | |
Dr. Janet F Johns, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-514-3803 Fax: 616-243-1170 | |
Dr. Charles G. Lawrence, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-243-5707 Fax: 616-243-1170 | |
Tiffany Allyn Letts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8461 | |
Dr. Rebecca L. Maki, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-243-5707 Fax: 616-243-1170 | |
Dr. Jamie D. Bosch, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-243-5707 Fax: 616-243-1170 | |
Dr. Andrew Dillon Smith, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 |