Philip Hartgerink, MD | |
555 Linn St, Allegan, MI 49010-1524 | |
(616) 235-4800 | |
Not Available |
Full Name | Philip Hartgerink |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 555 Linn St, Allegan, 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 |
---|---|---|---|
1063514909 | NPI | - | NPPES |
4241601 | Medicaid | MI | |
DD4837 | Other | MEDICARE RR PIN | |
4395223 | Medicaid | MI | |
310A710590 | Other | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301067478 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Genesis Hospital | Zanesville, OH | Hospital |
Riverside Methodist Hospital | Columbus, OH | Hospital |
Marietta Memorial Hospital | Marietta, OH | Hospital |
Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lucidsolutions Inc | 0749603462 | 66 |
Riverside Radiology And Interventional Associates Inc | 8729976964 | 198 |
Entity Name | Cedar Straits Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568656932 PECOS PAC ID: 3577591395 Enrollment ID: O20050802000439 |
Entity Name | Riverside Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20180411002073 |
Entity Name | Lucidsolutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518594480 PECOS PAC ID: 0749603462 Enrollment ID: O20200730000254 |
Mailing Address | Practice Location Address |
---|---|
Philip Hartgerink, MD 5350 Beckley Rd, Suite C, Battle Creek, MI 49015-4178 Ph: (269) 979-9400 | Philip Hartgerink, MD 555 Linn St, Allegan, MI 49010-1524 Ph: (616) 235-4800 |
Michael Jacoby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 555 Linn St, Allegan, MI 49010 Phone: 616-235-4800 |