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Mark Travis Hemming

Emergency Medicine

Allopathic & Osteopathic Physicians

1105 Sixth St, Traverse City, MI 49684-2386

PECOS Enrollment

This provider is enrolled in PECOS as MARK HEMMING.

Based on the most recent information from CMS, provider Mark Travis Hemming is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1407110174
Provider Type
Individual
Full Name
Hemming, Mark Travis
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/27/2012
Last Updated
1/2/2023

Contact Information

Practice Location

1105 Sixth St, Traverse City, MI 49684-2386

(231) 947-0673

(801) 740-2847

Mailing Location

801 S Garfield Ave # 242, Traverse City, MI 49686-3429

(734) 834-2419

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 4301106819 Michigan
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 36.138719 Illinois
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A136928 California

Mark Travis Hemming

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Northwestern Michigan Emergency Physicians Pc

Traverse Observation Physician Services Pc

Vanwagner, Angela

Clayton, Bevin

Dudo, James E

Burden, Jill Anne

Seguin, Colin

Hobson, Stephen

Han, Juhn Mark

Hsu, James