Frederick L Bean, M.D.
Individual provider Active NPI Family Medicine Physician · Olivet, MI
NPI 1023085693 · NPPES record last updated Jul 18, 2016
Key facts
- NPI
- 1023085693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301037024 (MI)
- Practice address
- 221 Engle Dr
Olivet, MI 49076-9603 - Phone
- (269) 749-4681
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
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 |
|---|---|---|---|---|
| I20060213000781 | MI | Practitioner - Emergency Medicine |
0042225088 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest H PLLC | Current |
Accepting new patients | |
| Theoria Medical | Current |
Accepting new patients | |
| Grand Haven Opco LLC | Past | Accepting new patients | |
| Eaton Care Center, LLC | Past | Accepting new patients | |
| Pennock Hospital | Past | Accepting new patients | |
| Ovid Healthcare LLC | Past | Accepting new patients | |
| Pennock Hospital | Family Medicine | Past | Accepting new patients |
| Atrium Centreville LLC | Past | Accepting new patients | |
| Atrium Timbers LLC | Past | Accepting new patients | |
| Atrium Marshall LLC | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301037024 | MI | Yes |
Addresses
Primary practice location
221 Engle Dr
Olivet, MI 49076-9603
Mailing address
221 Engle Dr
Olivet, MI 49076-9603
Other providers in Olivet, MI
- Phillip Howard Andre
- Andrew Alan Askler
- Blue Heart Home Healthcare
- Bluestone Transportation
- Brittany a Turner
- Victoria Lynn Easterday
- Jennifer Lynn Elliott
All providers in Olivet, MI · Family Medicine 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 Jul 18, 2016. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.