Address Healthcare Of Michigan Pllc - in Grand Rapids, MI

Address Healthcare Of Michigan Pllc is a Internal Medicine based in Grand Rapids, Michigan. Address Healthcare Of Michigan Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is 600 Monroe Avenue Nw, Ste 104, Grand Rapids, Michigan. It can be reached at their office (for appointments etc.) via phone at (616) 366-4234.

NPI number for Address Healthcare Of Michigan Pllc is 1043075294 and their current mailing address is 6804 Cecelia Drive, New Port Richey, Florida. Address Healthcare Of Michigan Pllc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043075294.

Contact Information

Address Healthcare Of Michigan Pllc
600 Monroe Avenue Nw, Ste 104,
Grand Rapids, MI 49503-1470
(616) 366-4234
(855) 548-4481



Healthcare Provider's Profile

Full NameAddress Healthcare Of Michigan Pllc
TypeFacility
SpecialityInternal Medicine
Location600 Monroe Avenue Nw, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043075294
  • Provider Enumeration Date: 02/16/2024
  • Last Update Date: 02/16/2024

Medical Identifiers

Medical identifiers for Address Healthcare Of Michigan Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043075294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Address Healthcare Of Michigan Pllc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Address Healthcare Of Michigan Pllc
6804 Cecelia Drive,
New Port Richey, FL 34653

Ph: (616) 366-4234
Address Healthcare Of Michigan Pllc
600 Monroe Avenue Nw, Ste 104,
Grand Rapids, MI 49503-1470

Ph: (616) 366-4234

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