Roger Beaudoing, DO | |
703 N Mcewan St, Clare, MI 48617-1440 | |
(989) 386-5120 | |
(989) 802-8880 |
Full Name | Roger Beaudoing |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 703 N Mcewan St, Clare, 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 |
---|---|---|---|
1639154768 | NPI | - | NPPES |
080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
158100275 | Other | MI | BLUE CROSS BLUE SHIELD |
4455090 | Medicaid | MI | |
4487254 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101011345 (Michigan) | Primary |
207P00000X | Emergency Medicine | 5101011345 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
Midmichigan Medical Center-clare | Clare, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mymichigan Medical Center Clare | 7012829773 | 97 |
Entity Name | Northern Michigan Emergency Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417972183 PECOS PAC ID: 7113910399 Enrollment ID: O20040405000871 |
Entity Name | Mymichigan Medical Center Clare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134394026 PECOS PAC ID: 7012829773 Enrollment ID: O20080721000628 |
Entity Name | Mymichigan Medical Center Gladwin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
Entity Name | Michigan Emergency Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205075074 PECOS PAC ID: 7810045127 Enrollment ID: O20090424000283 |
Mailing Address | Practice Location Address |
---|---|
Roger Beaudoing, DO 5392 Mangus, Beaverton, MI 48612 Ph: (989) 435-4669 | Roger Beaudoing, DO 703 N Mcewan St, Clare, MI 48617-1440 Ph: (989) 386-5120 |
Rene Hernandez, PA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 W 5th St, Clare, MI 48617 Phone: 989-386-9911 | |
Joseph Richard-mulligan Wille, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 602 Beech St Ste 3100, Clare, MI 48617 Phone: 989-802-5091 Fax: 989-802-5083 | |
Robert Vanderbrook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Beech St, Suite 3200, Clare, MI 48617 Phone: 989-802-5035 | |
Cedric B Masa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W 5th St, Clare, MI 48617 Phone: 989-386-9911 | |
Megan Boyk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Beech St Ste 3100, Clare, MI 48617 Phone: 989-802-5045 Fax: 989-802-5955 | |
Dr. Brock Wells Horsley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Beech St, Ste 3210, Clare, MI 48617 Phone: 989-802-8464 Fax: 989-802-8815 |