Mackenzie Sue Moquin, MD | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(616) 685-5576 | |
Not Available |
Full Name | Mackenzie Sue Moquin |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982271060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4351047970 (Michigan) | Secondary |
208M00000X | Hospitalist | 4301512778 (Michigan) | Primary |
Entity Name | Advantage Health/saint Mary's Medical Group |
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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 |
---|---|
Mackenzie Sue Moquin, MD 260 Jefferson Ave Se Ste 305, Grand Rapids, MI 49503-4597 Ph: (616) 685-4615 | Mackenzie Sue Moquin, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 685-5576 |
Rafael Ernesto Ledesma Bilbao Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se Ste 626, Grand Rapids, MI 49503 Phone: 616-685-5576 Fax: 616-685-8910 | |
Jeffrey A Hess, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, 6 South #626, Grand Rapids, MI 49503 Phone: 616-685-5039 Fax: 616-685-8910 | |
Mr. Jack Samuel Bevins, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Dr. Beth J Makowski Shell, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Fadi A Saab, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1525 E Beltline Ave Ne Ste 101, Grand Rapids, MI 49525 Phone: 616-447-8220 | |
Amy L Manley, Hospitalist Medicare: Medicare Enrolled Practice Location: 750 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-486-2656 | |
Dr. David Cullen, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-1818 |