Robert A Gielczyk, MD | |
6225 Prairie St, Norton Shores, MI 49444-7831 | |
(231) 798-9500 | |
(231) 798-9533 |
Full Name | Robert A Gielczyk |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 22 Years |
Location | 6225 Prairie St, Norton Shores, 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 |
---|---|---|---|
1891708590 | NPI | - | NPPES |
4999762 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4301079984 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Hackley Campus | Muskegon, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Lakeshore Derm And Laser Center Plc | 5799793006 | 7 |
Entity Name | Lakeshore Derm & Laser Center Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538209945 PECOS PAC ID: 5799793006 Enrollment ID: O20060329000031 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912347923 PECOS PAC ID: 3779471701 Enrollment ID: O20131025001403 |
Mailing Address | Practice Location Address |
---|---|
Robert A Gielczyk, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Robert A Gielczyk, MD 6225 Prairie St, Norton Shores, MI 49444-7831 Ph: (231) 798-9500 |
Timothy S Wang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 | |
Nicole M. Bossenbroek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 | |
Dr. Jason Barrett Van Ittersum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533 |