Spencer Thomas Bertram, MD | |
555 W Wackerly St, Midland, MI 48640-4722 | |
(989) 832-4202 | |
Not Available |
Full Name | Spencer Thomas Bertram |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 555 W Wackerly St, 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 |
---|---|---|---|
1205876513 | NPI | - | NPPES |
01005987 | Other | MI | HEALTH PLUS |
1338919 | Other | AETNA | |
502512712 | Other | MI | BCBSM |
4922435-10 | Medicaid | MI | |
P00379788 | Other | RAILROAD MEDICARE | |
156785 | Other | MI | GREAT LAKES HEALTH PLAN |
1023407 | Other | MI | MCLAREN HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | Q5156 (Texas) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301085355 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-clare | Clare, MI | Hospital |
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Management Group Pllc | 1153636576 | 5 |
Entity Name | Anesthesia Services Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
Entity Name | Mymichigan Medical Center Alpena |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467529404 PECOS PAC ID: 8527969922 Enrollment ID: O20040119000347 |
Entity Name | Mymichigan Medical Center Alma |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265596126 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975 |
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 Alpena |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508332792 PECOS PAC ID: 8527969922 Enrollment ID: O20040415000495 |
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 | Pain Management Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780071167 PECOS PAC ID: 1153636576 Enrollment ID: O20150813012386 |
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 |
---|---|
Spencer Thomas Bertram, MD 9909 Kingston Rdg, Clarkston, MI 48348-4190 Ph: (108) 964-5726 | Spencer Thomas Bertram, MD 555 W Wackerly St, Midland, MI 48640-4722 Ph: (989) 832-4202 |