| Mays Medical Psychiatry Group Pllc | |
|
4299 Lake St Pob 96 Bridgman MI 49106-9109 | |
| (269) 465-6221 | |
| (269) 465-6299 |
| Full Name | Mays Medical Psychiatry Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4299 Lake St, Bridgman, Michigan |
| Authorized Official Name and Position | Kenneth D. Mays (SOLE MBR) |
| Authorized Official Contact | 2694656221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mays Medical Psychiatry Group Pllc 4299 Lake St Pob 96 Bridgman MI 49106-9109 Ph: (269) 465-6221 | Mays Medical Psychiatry Group Pllc 4299 Lake St Pob 96 Bridgman MI 49106-9109 Ph: (269) 465-6221 |
| NPI Number | 1578949715 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 9739497249 |
|---|---|
| Medicare Enrollment ID | O20151002001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578949715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301093794 (Michigan) | Primary |
| Provider Name | Kenneth Darnell Mays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356670590 PECOS PAC ID: 3678608973 Enrollment ID: I20100311000659 |
Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9625 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-684-0259 Fax: 269-684-0189 | |
Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9623 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-465-6050 |