ASCENSION MEDICAL GROUP PROMED – Family Medicine Physician, NPI 1497709869
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ASCENSION MEDICAL GROUP PROMED
7901, Angling Road, Portage, Kalamazoo County, Michigan, 49024, United States
PORTAGE, MI 490240714
Phone: (269) 552-2912
Fax: (269) 552-2835
Type: Location
633 S Erie St
Three Rivers, MI 490932073
Phone: (269) 273-9539
Type: Location
Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States
KALAMAZOO, MI 490481623
Phone: (269) 226-5607
Type: Mailing
3245 HEALTH DR STE 100
STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-16
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49024)
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