Michael P Bednarz (NPI# 1184661407, PAC ID# 3375540354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1184661407 |
| PAC ID by PECOS | 3375540354 |
| Professional Enrollment ID | I20061106000169 |
| Full Name | Michael P Bednarz |
| Organization Legal Name | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Address |
1601 W Jackson St Suite 104 Macomb IL 61455-1901 |
| Phone Number | 3095753222 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE, GERIATRIC PSYCHIATRY, INTERNAL MEDICINE |
| Group Practice PAC ID | 5496049330 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 | 3095753222 | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Organization Legal Name | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Mae Martin | Nurse Practitioner | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Street Address |
1601 W JACKSON ST SUITE 104 |
| City | MACOMB |
| State | IL |
| Zip | 61455-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Mae Martin | Nurse Practitioner | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Bruenger | Chiropractic | 1526 W Jackson St, Macomb, IL 61455-1900 | |
| Thomas Jefferson Pridemore Jr. | Chiropractic | 109 S Johnson St, Macomb, IL 61455-2134 | |
| Terry B Vail | Optometry | 131 S Randolph St, Macomb, IL 61455-2207 | |
| Christine M Standard | Qualified Audiologist | 227 S Randolph St, Macomb, IL 61455-2209 | |
| David R Culver | Optometry | 222 S Randolph St, Macomb, IL 61455-2210 | |
| Gary L Sash | Chiropractic | 117 E Carroll St, Macomb, IL 61455-2222 | |
| Becky J Hoelscher | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 301 E Jefferson St, Macomb, IL 61455-2312 |
| Hannah L Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Tim A Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Brigette A Colley | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Find all physicians in zip 61455 | |||
| City | MACOMB |
| Zip Code | 61455 |
| Specialty | PSYCHIATRY |
| City + Specialty | MACOMB + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael P Bednarz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.