Charles E Jessup, DO | |
125 N Washington St, Prescott, MI 48756-5117 | |
(989) 873-3352 | |
(989) 873-3949 |
Full Name | Charles E Jessup |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 125 N Washington St, Prescott, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992831960 | NPI | - | NPPES |
233873 | Other | MI | RIVERBEND |
010F510190 | Other | MI | BUE CROSS |
0156150214 | Other | MI | BCBS |
080Z910290 | Other | MI | BLUE CROSS |
4303974 | Medicaid | MI | |
2624597 | Medicaid | MI | |
383369085 | Other | MI | COMMERCIAL |
4279897 | Medicaid | MI | |
010Z900580 | Other | MI | BCBS GROUP |
233866 | Other | MI | RIVERBEND |
382821013 | Other | MI | COMMERCIAL |
383369085100 | Other | MI | COMMUNITY CHOICE |
0Z90058 | Other | MI | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5101005335 (Michigan) | Primary |
207Q00000X | Family Medicine | 5101005335 (Michigan) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Charles E Jessup, DO 1003 Woodside Ave, Essexville, MI 48732-1234 Ph: (989) 892-7722 | Charles E Jessup, DO 125 N Washington St, Prescott, MI 48756-5117 Ph: (989) 873-3352 |
Antonio F Mendiola Jr., M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1827 Greenwood Rd, Prescott, MI 48756 Phone: 989-873-6200 Fax: 989-873-5563 |