David A Puzycki, MD
Individual provider Active NPI Internal Medicine Physician · Eau Claire, MI
NPI 1952478281 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1952478281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DP065168 (MI)
- Practice address
- 6270 W Main St
Eau Claire, MI 49111-9480 - Phone
- (269) 461-6927
- Fax
- (269) 461-3068
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Medical Practices
Intercare Community Health Network
Lakeland Community Hospital Watervliet
Practice addresses (Care Compare)
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
50 Industrial Dr
Bangor, MI 49013
6270 W Main St
Eau Claire, MI 49111-9480
Phone (269) 461-6927
6559 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 463-3600
800 M
Suite 139
Benton Harbor, MI 49022-3881
Phone (269) 927-5400
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
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 |
|---|---|---|---|---|
| I20070126000103 | MI | Practitioner - Internal Medicine |
2062413560 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP065168 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Community Health Network | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Internal Medicine | Current |
Accepting new patients |
| Intercare Community Health Network | Current |
Accepting new patients | |
| Lakeside Healthcare Specialists PLLC | Internal Medicine | Past | Accepting new patients |
| Niles Professional Services, Inc | Internal Medicine | Past | Accepting new patients |
Locations
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
308 Charles St
Bangor, MI 49013
Phone (269) 427-7967
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
870 Colfax Ave
Benton Harbor, MI 49022
Phone (269) 605-1277
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
6559 Paw Paw Ave
Coloma, MI 49038
Phone (269) 408-1660
7450 Hochberger Rd
Eau Claire, MI 49111
Phone (855) 869-6900
285 James St
Holland, MI 49424
Phone (616) 399-0200
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
538 Washington St
Otsego, MI 49078
Phone (269) 694-7873
5498 109th Ave
Pullman, MI 49450
Phone (269) 236-5021
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
1234 Napier Ave
#29
Saint Joseph, MI 49085
Phone (269) 985-4632
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- david.puzycki@ichn.eclinicaldirectplus.com
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DP065168 | MI | Yes |
Addresses
Primary practice location
6270 W Main St
Eau Claire, MI 49111-9480
Mailing address
50 Industrial Park Rd
Bangor, MI 49013-1246
Phone (269) 427-7937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A110280 | Other | MI | BCBS |
Other providers in Eau Claire, MI
- Maximino Alfredo Mejia
- Emma L Mupotsa
- Amanda Sheeana Neal
- April Diane Nitz
- Opti Health PLLC
- Heather Rausch
- David R Reusser
- Jose Carmen Romero
- Sherry Karon Taujale Shrestha
- Suzanne Smith
All providers in Eau Claire, MI · Internal 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 Jan 22, 2014. 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.