| Premiermd Physicians Pllc | |
|
16986 Robbins Rd Ste 180 Grand Haven MI 49417-2795 | |
| (616) 213-0253 | |
| Not Available |
| Full Name | Premiermd Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 16986 Robbins Rd Ste 180, Grand Haven, Michigan |
| Authorized Official Name and Position | David Wilson (OWNER) |
| Authorized Official Contact | 6162130253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiermd Physicians Pllc 16986 Robbins Rd Ste 180 Grand Haven MI 49417-2795 Ph: (616) 213-0253 | Premiermd Physicians Pllc 16986 Robbins Rd Ste 180 Grand Haven MI 49417-2795 Ph: (616) 213-0253 |
| NPI Number | 1598304701 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 2466881990 |
|---|---|
| Medicare Enrollment ID | O20200406000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598304701 | NPI | - | NPPES |
| Provider Name | Jennifer L Ruel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811975022 PECOS PAC ID: 9931162815 Enrollment ID: I20041111000180 |
| Provider Name | David Keith Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972533396 PECOS PAC ID: 1052354693 Enrollment ID: I20050606000427 |
| Provider Name | Tabatha Jean Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336369701 PECOS PAC ID: 8628124922 Enrollment ID: I20090928000338 |
| Provider Name | Jenna L Chambless |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114209988 PECOS PAC ID: 7113190380 Enrollment ID: I20111103000293 |
| Provider Name | Syed Tajuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700228038 PECOS PAC ID: 7012265887 Enrollment ID: I20180810000594 |
| Provider Name | Heather Marie Coots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316404148 PECOS PAC ID: 5698015865 Enrollment ID: I20190326001293 |
| Provider Name | Liberty Anne Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962068544 PECOS PAC ID: 9537495650 Enrollment ID: I20190729000226 |
| Provider Name | Julia Ann Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960807 PECOS PAC ID: 5092144527 Enrollment ID: I20200406000504 |
| Provider Name | Anna Liese Kooi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255999751 PECOS PAC ID: 8123403102 Enrollment ID: I20220912001027 |
Robert W Dixon Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417 Phone: 616-846-2640 Fax: 616-846-3110 | |
Airmd Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15161 Willowwood Ct, Grand Haven, MI 49417 Phone: 616-402-8353 | |
Horizon Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Park Ave, Grand Haven, MI 49417 Phone: 616-846-9712 Fax: 616-846-9714 | |
Privamd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16986 Robbins Rd, Grand Haven, MI 49417 Phone: 231-215-8086 | |
Daniel J. Graham, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 S Beechtree St, Suite 1a, Grand Haven, MI 49417 Phone: 616-842-5610 Fax: 616-842-3317 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Sheldon Rd, Grand Haven, MI 49417 Phone: 616-846-1860 | |
Holland Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S Beacon Blvd Ste 240, Grand Haven, MI 49417 Phone: 616-394-2079 |