Lorrie Jean Oldham, DO | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(616) 752-6090 | |
Not Available |
Full Name | Lorrie Jean Oldham |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 200 Jefferson Ave Se, Grand Rapids, 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 |
---|---|---|---|
1295789790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101013310 (Michigan) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 5101013310 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Trinity Medical Ctr East &trinity Medical Ctr West | Steubenville, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor | 1456706886 | 12 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20181106002747 |
Mailing Address | Practice Location Address |
---|---|
Lorrie Jean Oldham, DO 245 State St Se, Ste 1a, Grand Rapids, MI 49503-4328 Ph: (616) 913-1808 | Lorrie Jean Oldham, DO 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 752-6090 |
Maureen Tan Pedres, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |