Shane Douglas Martin, DO | |
4201 Campus Ridge Drive, Midland, MI 48640 | |
(989) 839-1795 | |
(989) 839-1785 |
Full Name | Shane Douglas Martin |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 4201 Campus Ridge Drive, Midland, 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 |
---|---|---|---|
1386872588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101018126 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mymichigan Medical Center Midland | 2264323633 | 362 |
Entity Name | Mymichigan Medical Center Midland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
Entity Name | Mymichigan Medical Center West Branch |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
Mailing Address | Practice Location Address |
---|---|
Shane Douglas Martin, DO 4201 Campus Ridge Drive, Midland, MI 48640 Ph: (989) 839-1795 | Shane Douglas Martin, DO 4201 Campus Ridge Drive, Midland, MI 48640 Ph: (989) 839-1795 |
Dr. Mark Douglas Horness, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4011 Orchard Dr, Suite 2000, Midland, MI 48640 Phone: 989-631-1221 Fax: 989-631-6686 | |
Enrique Criado-pallares, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-794-5240 Fax: 989-488-5886 | |
Melwyn J Sequeira, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge, Midland, MI 48640 Phone: 989-839-1795 Fax: 989-839-1785 | |
Dr. Peter Bistolarides, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-839-1795 Fax: 989-839-1785 | |
Dr. Kelly Wirsing, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4320 Campus Ridge Drive, Midland, MI 48640 Phone: 989-837-9071 Fax: 989-837-9065 | |
Mr. Jonathan Kerry Murdock, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2125 Ridgewood Dr, Midland, MI 48642 Phone: 989-254-6427 |