Justin R Staley, DO | |
1700 Clinton St, Muskegon, MI 49442-5502 | |
(231) 726-3511 | |
Not Available |
Full Name | Justin R Staley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1700 Clinton St, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164044830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101026712 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Grand River Emergency Medical Group Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
Entity Name | Lake Michigan Emergency Specialists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
Entity Name | Lake Michigan Observation Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
Mailing Address | Practice Location Address |
---|---|
Justin R Staley, DO 1675 Leahy St Ste 315a, Muskegon, MI 49442-5543 Ph: () - | Justin R Staley, DO 1700 Clinton St, Muskegon, MI 49442-5502 Ph: (231) 726-3511 |
Christopher Jonathan Hummel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9341 | |
Dr. Hans Christian Bruntmyer, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 Phone: 231-672-6336 Fax: 231-672-6335 | |
Marc Emmett Whitaker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49443 Phone: 231-739-9343 | |
Dr. James P Farinosi, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Oak Ave, Muskegon, MI 49442 Phone: 231-672-6430 | |
Nicholas M Mcmanus, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-727-5250 Fax: 231-727-5248 | |
Dr. Lucas Leete, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-4601 | |
Thomas K Vu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-726-3511 |