| Great Lakes Gastroenterology Pllc | |
|
3903 Hollywood Rd Saint Joseph MI 49085-9149 | |
| (269) 408-1100 | |
| (269) 408-1329 |
| Full Name | Great Lakes Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3903 Hollywood Rd, Saint Joseph, Michigan |
| Authorized Official Name and Position | Bruce A Jones (MEDICAL DOCTOR/PARTNER) |
| Authorized Official Contact | 2694081100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Gastroenterology Pllc 3903 Hollywood Rd Saint Joseph MI 49085-9149 Ph: (269) 408-1100 | Great Lakes Gastroenterology Pllc 3903 Hollywood Rd Saint Joseph MI 49085-9149 Ph: (269) 408-1100 |
| NPI Number | 1780691899 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103927702 |
|---|---|
| Medicare Enrollment ID | O20070726000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780691899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Timothy J Pelkey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942296785 PECOS PAC ID: 5395755268 Enrollment ID: I20060424000242 |
| Provider Name | Kim Mills |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386637692 PECOS PAC ID: 3577455203 Enrollment ID: I20060424000259 |
| Provider Name | Houssam Attal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760478598 PECOS PAC ID: 2668482530 Enrollment ID: I20060424000300 |
| Provider Name | Bruce A Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275526675 PECOS PAC ID: 6901907500 Enrollment ID: I20090415000628 |
| Provider Name | Rickey L Snipes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477546869 PECOS PAC ID: 4183725781 Enrollment ID: I20090514000346 |
| Provider Name | Ather M Bukhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992798391 PECOS PAC ID: 4688868110 Enrollment ID: I20110222000747 |
| Provider Name | Thomas R Birris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003083627 PECOS PAC ID: 9537324884 Enrollment ID: I20120711000532 |
| Provider Name | Alero Inyang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447460506 PECOS PAC ID: 0941455075 Enrollment ID: I20130221000213 |
| Provider Name | Julie L Yam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891131959 PECOS PAC ID: 5294065496 Enrollment ID: I20191002000923 |
| Provider Name | Anna Puzanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033394416 PECOS PAC ID: 7719040203 Enrollment ID: I20191221000125 |
| Provider Name | Frank A Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730568452 PECOS PAC ID: 0244549061 Enrollment ID: I20210714000764 |
Brian T Doyle Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Momany Dr, Saint Joseph, MI 49085 Phone: 269-982-1947 Fax: 269-982-1950 | |
Madonna Fabian Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3078 Niles Rd, Saint Joseph, MI 49085 Phone: 323-547-2155 | |
Rappha Medical Center, P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3911 Stonegate Park Dr, Saint Joseph, MI 49085 Phone: 269-408-1777 Fax: 269-408-1755 | |
Lakeland Physician Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-684-0259 Fax: 269-684-0189 | |
Arcadia Family Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park Ste F, Saint Joseph, MI 49085 Phone: 810-624-1586 | |
Lakeland Neurosurgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Hollywood Rd, Suite 210, Saint Joseph, MI 49085 Phone: 269-556-1990 Fax: 269-556-1996 | |
Southwestern Infectious Diease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 |