Robert E Reneker Jr, MD | |
2373 64th St Sw, Ste 1200, Byron Center, MI 49315 | |
(616) 685-3910 | |
(616) 685-3923 |
Full Name | Robert E Reneker Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2373 64th St Sw, Byron Center, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972529014 | NPI | - | NPPES |
P61260 | Other | MI | BCN |
4445844 | Medicaid | MI | |
080D16151 | Other | MI | BXBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RR063893 (Michigan) | Secondary |
207Q00000X | Family Medicine | 4301063893 (Michigan) | Primary |
Entity Name | Advantage Health/saint Mary's Medical Group |
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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 |
---|---|
Robert E Reneker Jr, MD 245 State St Se, Ste 228, Grand Rapids, MI 49503 Ph: (616) 685-1808 | Robert E Reneker Jr, MD 2373 64th St Sw, Ste 1200, Byron Center, MI 49315 Ph: (616) 685-3910 |
Timothy Joseph Tobolic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7740 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-217-5100 Fax: 616-217-5105 | |
David G. Raffo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8214 Pfeiffer Farms Dr Sw, Byron Center, MI 49315 Phone: 616-635-6050 | |
Mrs. Sara Ann Dumich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 Byron Center Ave Sw Ste A, Byron Center, MI 49315 Phone: 616-878-3321 | |
Dr. Christopher Hayes Coller, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2717 84th St Sw, Byron Center, MI 49315 Phone: 616-330-1440 | |
Becky Purkaple, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2373 64th St Sw Ste 1300, Byron Center, MI 49315 Phone: 616-685-4350 | |
Dr. Mark W Bates, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7751 Byron Center Ave Sw, Suite C, Byron Center, MI 49315 Phone: 616-267-7668 Fax: 616-267-7941 | |
Ann E Mathias, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 Byron Center Ave Sw, Suite A, Byron Center, MI 49315 Phone: 616-878-3321 Fax: 616-878-0858 |