Marisa Alice Hodges, MD | |
3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | |
(616) 267-7125 | |
Not Available |
Full Name | Marisa Alice Hodges |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 3271 Clear Vista Ct Ne, 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 |
---|---|---|---|
1184074809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301117092 (Michigan) | Secondary |
207K00000X | Allergy & Immunology | 4301117092 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Marisa Alice Hodges, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Marisa Alice Hodges, MD 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 Ph: (616) 267-7125 |
Raymond Gonzalez, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 Phone: 616-267-7125 Fax: 616-267-9593 | |
Christine M Schafer, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 970 Parchment Drive Se, Suite 203, Grand Rapids, MI 49546 Phone: 616-949-4840 Fax: 616-949-3531 | |
Nancy J Brooke, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1525 E Beltline Ave Ne, Ste 102, Grand Rapids, MI 49525 Phone: 616-447-7200 Fax: 616-447-9773 | |
Dr. Vincent A Dubravec, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5055 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525 Phone: 616-988-8515 | |
Jacqueline Eastman Yam, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 Phone: 616-267-7125 | |
Sara J Uekert, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 970 Parchment Dr Se, Suite 203, Grand Rapids, MI 49546 Phone: 616-949-4840 Fax: 616-949-3531 | |
Richard Roy Townley, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 3625 Clyde Park Ave Sw, Suite 1, Grand Rapids, MI 49509 Phone: 616-531-6900 Fax: 616-531-5847 |