Philip S Fox, MD
Individual provider Active NPI Psychiatry Physician · Kentwood, MI
NPI 1013976596 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1013976596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301053214 (MI)
- Practice address
- 1403 60TH St SE
Kentwood, MI 49508-7065 - Phone
- (616) 719-4488
- Fax
- (616) 719-4480
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Ohio State University College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pine Rest Christian Mental Health Services
Practice addresses (Care Compare)
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Hospital & facility affiliations
- University of Michigan Health - West
- Spectrum Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060315000060 | MI | Practitioner - Psychiatry | 6406878610 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current |
Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current |
Accepting new patients |
Locations
1870 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 956-1122
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301053214 | MI | Yes |
Addresses
Primary practice location
1403 60TH St SE
Kentwood, MI 49508-7065
Mailing address
1403 60TH St SE
Kentwood, MI 49508-7065
Phone (616) 719-4488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260D110830 | Other | MI | BCBS |
Other providers in Kentwood, MI
- Dierdra Dee Flourry-Rembert
- Jamari Miguel Flowers
- FMS Kentwood LLC
- Allison Jean Ford
- Allen James Fox
- Tori Renea Francis
- Crystal Franklin
- Freedom Family Chiropractic
- Mary Freybler
- Mekenzie Froehlich Froehlich
All providers in Kentwood, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.