Sameh F S Dwaikat, MD | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(616) 685-6225 | |
Not Available |
Full Name | Sameh F S Dwaikat |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 22 Years |
Location | 200 Jefferson Ave Se, Grand Rapids, 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 |
---|---|---|---|
1609182567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301097490 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantage Health/saint Mary's Medical Group | 4082807961 | 386 |
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 |
---|---|
Sameh F S Dwaikat, MD Po Box 165, Grand Rapids, MI 49501-0165 Ph: (616) 455-5000 | Sameh F S Dwaikat, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 685-6225 |
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