Sunggeun Samuel Im, MD | |
11199 31/2 Mile Road, Battle Creek, MI 49015 | |
(269) 979-2501 | |
(269) 979-2501 |
Full Name | Sunggeun Samuel Im |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11199 31/2 Mile Road, Battle Creek, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770510901 | NPI | - | NPPES |
1077038 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-1695 (Guam) | Secondary |
208600000X | Surgery | C55339 (California) | Primary |
208D00000X | General Practice | 31469 (Michigan) | Secondary |
Entity Name | General Conference Corp Of Sda |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586877 PECOS PAC ID: 6608777628 Enrollment ID: O20040114000187 |
Mailing Address | Practice Location Address |
---|---|
Sunggeun Samuel Im, MD 11199 3 1/2 Mile Rd, Battle Creek, MI 49015-9370 Ph: (269) 979-2501 | Sunggeun Samuel Im, MD 11199 31/2 Mile Road, Battle Creek, MI 49015 Ph: (269) 979-2501 |
Abedel Karim Abushmaies, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Capital Ave Sw, Ste 201, Battle Creek, MI 49015 Phone: 269-979-6310 Fax: 269-979-6311 | |
Dr. David Michael Bartholomew, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 363 Fremont St, Suite 208, Battle Creek, MI 49017 Phone: 269-245-8310 Fax: 269-245-8345 | |
Dr. Christopher Wilhelmson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 363 Fremont St Ste 308a, Battle Creek, MI 49017 Phone: 269-245-8310 Fax: 269-245-8345 | |
Mohammad A Rahman, MD Surgery Medicare: Medicare Enrolled Practice Location: 2845 Capital Ave Sw, Ste 201, Battle Creek, MI 49015 Phone: 269-979-6310 Fax: 269-979-6311 | |
Michael Klingler, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3770 Capital Ave Sw Ste A, Battle Creek, MI 49015 Phone: 269-441-1771 | |
Syed M.f. Alam, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3790 Capital Ave Sw, Battle Creek, MI 49015 Phone: 269-979-6310 Fax: 269-979-8807 | |
Jeffrey R Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 363 Fremont Street, Suite 203, Battle Creek, MI 49017 Phone: 269-969-6123 Fax: 269-969-6122 |