Mark Spoolstra, MD | |
300 Lafayette Ave Se, Suite 4200, Grand Rapids, MI 49503-4650 | |
(616) 685-6919 | |
(616) 685-3063 |
Full Name | Mark Spoolstra |
---|---|
Gender | Male |
Speciality | Geriatric Medicine |
Experience | 40 Years |
Location | 300 Lafayette Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912953662 | NPI | - | NPPES |
4878990 | Medicaid | MI | |
4194243 | Medicaid | MI | |
4203852 | Medicaid | MI | |
3415869 | Medicaid | MI | |
4879002 | Medicaid | MI | |
3483125 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301050964 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantage Health/saint Mary's Medical Group | 4082807961 | 386 |
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 |
---|---|
Mark Spoolstra, MD 245 State St Se, Grand Rapids, MI 49503-4328 Ph: (616) 685-1808 | Mark Spoolstra, MD 300 Lafayette Ave Se, Suite 4200, Grand Rapids, MI 49503-4650 Ph: (616) 685-6919 |
Maureen Tan Pedres, M.D. Internal 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. Internal 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. Internal 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. Internal 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. Internal 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 Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Internal 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 |