Mark W Newberry, MD | |
5838 Metro Way Sw, Wyoming, MI 49519-9619 | |
(616) 249-5300 | |
Not Available |
Full Name | Mark W Newberry |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5838 Metro Way Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013962216 | NPI | - | NPPES |
4771107 | Medicaid | MI | |
4770905 | Medicaid | MI | |
4773836 | Medicaid | MI | |
4770950 | Medicaid | MI | |
4774029 | Medicaid | MI | |
0D161147 | Other | MI | BCBS |
1598712390 | Other | MI | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301067531 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
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 W Newberry, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300 | Mark W Newberry, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300 |
Dr. Tristan J Worthington, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
John W Hamersma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Brooke M Lenz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
Alan Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-685-3300 Fax: 616-685-3303 | |
Michael J Bultje, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Richard J Stang, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 Sandy Ct Sw, Wyoming, MI 49418 Phone: 616-272-3909 |