Joan M Griner Licht, MD | |
3643 W Front St Ste A, Traverse City, MI 49684-7760 | |
(231) 935-0620 | |
(231) 935-0626 |
Full Name | Joan M Griner Licht |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 34 Years |
Location | 3643 W Front St Ste A, Traverse City, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710902945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | JG058054 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associates In Dermatology Of Traverse City Pc | 4981607298 | 5 |
Entity Name | Associates In Dermatology Of Traverse City Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430779 PECOS PAC ID: 4981607298 Enrollment ID: O20060804000316 |
Mailing Address | Practice Location Address |
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Joan M Griner Licht, MD 3643 W Front St, Suite A, Traverse City, MI 49684-7759 Ph: (231) 935-0620 | Joan M Griner Licht, MD 3643 W Front St Ste A, Traverse City, MI 49684-7760 Ph: (231) 935-0620 |
Raymond J Dean, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3643 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-0620 Fax: 231-935-0626 | |
Paula L Cahill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Maria C Carroll, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Dr. Jeffrey John Kelly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3643 W Front St, Suite A, Traverse City, MI 49684 Phone: 231-935-0620 Fax: 231-935-0626 | |
Susan C Noble, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Avenue, Suite 200, Traverse City, MI 49686 Phone: 231-935-8717 Fax: 231-935-9230 | |
Anthony C Vanvreede, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684 Phone: 231-642-5031 Fax: 231-525-2306 |