Bennett L Willard (NPI# 1134186513, PAC ID# 9830166743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1134186513 |
| PAC ID by PECOS | 9830166743 |
| Professional Enrollment ID | I20100318000385 |
| Full Name | Bennett L Willard |
| Organization Legal Name | MICHIGAN PAIN CONSULTANTS PC |
| Address |
2147 Health Dr Sw Suite 100 Wyoming MI 49519-9675 |
| Phone Number | 6162811600 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 8426959099 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| 230236 | METRO HEALTH HOSPITAL |
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 | 6162851377 | MICHIGAN PAIN CONSULTANTS PC |
| 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 | 6162811600 | MICHIGAN PAIN CONSULTANTS PC |
| Organization Legal Name | MICHIGAN PAIN CONSULTANTS PC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam L Powell | Anesthesiology | Michigan Pain Consultants PC | 1675 E Mount Garfield Rd, Suite 135, Muskegon, MI 49444-7732 |
| Jukka Pietila | Physical Therapy | Michigan Pain Consultants PC | 15044 220th Ave, Big Rapids, MI 49307-9233 |
| Karen Ardel Monterusso | Physician Assistant | Michigan Pain Consultants PC | 2147 Health Sw Dr, Suite 100, Wyoming, MI 49519-9675 |
| Lisa A Pullum | Pain Management | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Deborah Kay Hunter | Physician Assistant | Michigan Pain Consultants PC | 1675 E Mount Garfield Rd, Suite 135, Muskegon, MI 49444-7732 |
| Scott H Greenwald | Interventional Pain Management | Michigan Pain Consultants PC | 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 |
| Daniel Mankoff | Pain Management | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Charles Bray | Physician Assistant | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Schuyler A Rogg | Pain Management | Michigan Pain Consultants PC | 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 |
| Stephen Winston | Interventional Pain Management | Michigan Pain Consultants PC | 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 |
| Street Address |
2147 HEALTH DR SW SUITE 100 |
| City | WYOMING |
| State | MI |
| Zip | 49519-9675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara E Beerthuis | Clinical Social Worker | Michigan Behavioral Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Daniel Mankoff | Pain Management | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Eric C Kozfkay | Physical Medicine and Rehabilitation | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Mark L Gostine | Pain Management | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| John Peter Birgiolas | Interventional Pain Management | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Kevin E Fitzgerald | Pain Management | Michigan Pain Consultants PC | 2147 Health Dr Sw, Suite 100, Wyoming, MI 49519-9675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Austin Vanderweide | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Kaitlynn Kristine Rosier | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Jared L Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Arnold Mark Koldenhoven Jr. | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Charles Scott Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Linda S Bruinsma | Chiropractic | 3555 Byron Ctr Ave, Wyoming, MI 49519-3259 | |
| Bradley D Conrad | Chiropractic | 3651 Byron Ctr Ave Sw, Wyoming, MI 49519-3665 | |
| Tamara Brown | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Ashley K Yancho | Clinical Social Worker | 2663 44th St Sw, Suite 106, Wyoming, MI 49519-4189 | |
| Rachel Vanbuskirk | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Find all physicians in zip 49519 | |||
| City | WYOMING |
| Zip Code | 49519 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | WYOMING + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Bennett L Willard.
| 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.