Theodore J Vanderkooi, MD | |
230 W Oak St, Suite 201, Fremont, MI 49412-1575 | |
(231) 924-4200 | |
(616) 267-9046 |
Full Name | Theodore J Vanderkooi |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 230 W Oak St, Fremont, 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 |
---|---|---|---|
1801849120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 065627 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Hackley Campus | Muskegon, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Muskegon Surgical Associates Pc | 0941262877 | 26 |
Entity Name | Muskegon Surgical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225101660 PECOS PAC ID: 0941262877 Enrollment ID: O20041102000715 |
Mailing Address | Practice Location Address |
---|---|
Theodore J Vanderkooi, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Theodore J Vanderkooi, MD 230 W Oak St, Suite 201, Fremont, MI 49412-1575 Ph: (231) 924-4200 |
Aamir Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Douglas A. Johnson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 | |
Dr. Kegan Michael Rummel, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Erich Stocks Schafer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Jeremy James Kuiper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 616-267-9046 | |
Katherine E Shafer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 |