| Emmett Dewayne Cosgrove, OD | |
|
11282 M140 Highway, South Haven, MI 49090-9405 | |
| (269) 637-1569 | |
| (269) 637-4519 |
| Full Name | Emmett Dewayne Cosgrove |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 11282 M140 Highway, South Haven, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316941255 | NPI | - | NPPES |
| 22-32002 | Other | UNITED HEALTH CARE/PHP | |
| 900H06501 | Other | BLUE CROSS/BLUE SHIELD | |
| 5098573 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 002521 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Emmett Dewayne Cosgrove, OD 11282 M140 Highway, South Haven, MI 49090-9405 Ph: (269) 637-1569 | Emmett Dewayne Cosgrove, OD 11282 M140 Highway, South Haven, MI 49090-9405 Ph: (269) 637-1569 |
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 | |
Dr. Alice Marie Bacak, 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 |