Dr Alice Marie Bacak, OD | |
1088 S Bailey Ave, Suite B, South Haven, MI 49090-9728 | |
(269) 637-1442 | |
(269) 637-3801 |
Full Name | Dr Alice Marie Bacak |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 36 Years |
Location | 1088 S Bailey Ave, South Haven, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669470159 | NPI | - | NPPES |
1994216 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003231 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Haven Eyecare Associates | 5496872681 | 2 |
Provider Name | South Haven Eyecare Associates |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083744379 PECOS PAC ID: 5496872681 Enrollment ID: O20101117001140 |
Mailing Address | Practice Location Address |
---|---|
Dr Alice Marie Bacak, OD 1088 S Bailey Ave, Suite B, South Haven, MI 49090-9728 Ph: (269) 637-1442 | Dr Alice Marie Bacak, OD 1088 S Bailey Ave, Suite B, South Haven, MI 49090-9728 Ph: (269) 637-1442 |
Dr. John A Mannik, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1088 S Bailey Ave, Suite B, South Haven, MI 49090 Phone: 269-637-1442 Fax: 269-637-3801 | |
South Haven Eyecare Associates Optometrist Medicare: Medicare Enrolled Practice Location: 1088 S Bailey Ave, Suite B, South Haven, MI 49090 Phone: 269-637-1442 Fax: 269-637-3801 | |
Emmett Dewayne Cosgrove, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11282 M140 Highway, South Haven, MI 49090 Phone: 269-637-1569 Fax: 269-637-4519 |