Susan Betts-Barbus, M.D.
Individual provider Active NPI Pediatrics Physician · Cadillac, MI
NPI 1437116233 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1437116233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301040953 (MI)
- Practice address
- 7917 Mackinaw TRL
Cadillac, MI 49601-9746 - Phone
- (231) 779-9700
- Fax
- (231) 779-9765
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301040953 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mackinaw Trail Health Associates, P.C. | Pediatrics | Current | Accepting new patients |
| Mackinaw Trail Health Associates P C | Pediatrics | Current | Accepting new patients |
Locations
7917 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 779-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301040953 | MI | Yes |
Addresses
Primary practice location
7917 Mackinaw TRL
Cadillac, MI 49601-9746
Mailing address
7917 Mackinaw TRL
Cadillac, MI 49601-9746
Phone (231) 779-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810173 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3314973 | Medicaid | MI |
Other providers in Cadillac, MI
- Catherine Ann Benz
- Hannah Bergquist
- Katherine Besaw
- Raquel Besey
- Catherine Best
- Sarah Bialik
- Bio-Medical Applications of Michigan, Inc.
- Marlene Diane Bivins-Iseri
- Paul Remo Bizzigotti
- Sharon L Blackburn
All providers in Cadillac, MI · Pediatrics 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 Sep 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.