Liton Mecano, MD | |
10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | |
(616) 685-8450 | |
(616) 458-3526 |
Full Name | Liton Mecano |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10047 Crossroad Ct Se, Caledonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831142306 | NPI | - | NPPES |
4208447 | Medicaid | MI | |
4878346 | Medicaid | MI | |
4155559 | Medicaid | MI | |
3415760 | Medicaid | MI | |
4186116 | Medicaid | MI | |
4879011 | Medicaid | MI | |
4212691 | Medicaid | MI | |
4555004 | Medicaid | MI | |
4749643 | Medicaid | MI | |
4181728 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301062209 (Michigan) | Primary |
Entity Name | Advantage Health/saint Mary's Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Mailing Address | Practice Location Address |
---|---|
Liton Mecano, MD 245 State St Se, Grand Rapids, MI 49503-4328 Ph: (616) 685-1808 | Liton Mecano, MD 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 Ph: (616) 685-8450 |
Dr. Channing E Finkbeiner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10047 Crossroad Ct Se, Caledonia, MI 49316 Phone: 616-685-8850 | |
Joshua Ben Koenig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10047 Crossroad Ct Se, Caledonia, MI 49316 Phone: 616-685-8850 Fax: 586-582-7515 | |
Aryn Johnson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-252-5300 Fax: 616-252-5390 | |
Dr. Adam Zachary Mitchell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 Phone: 616-891-0422 | |
John C Woodworth, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-252-5300 Fax: 616-252-5390 | |
Rebecca Marie Osbourne, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10047 Crossroad Ct Se, Caledonia, MI 49316 Phone: 616-685-8850 Fax: 616-891-9494 | |
Tyler Ledy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-252-5300 |