Cheryl Bellanca Jack, MD | |
812 E Jolly Rd, Ste G12, Lansing, MI 48910-6818 | |
(517) 346-8283 | |
(517) 346-8291 |
Full Name | Cheryl Bellanca Jack |
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Gender | Female |
Speciality | General Practice |
Location | 812 E Jolly Rd, Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750327904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 4301062157 (Michigan) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447233424 PECOS PAC ID: 0547168064 Enrollment ID: O20050425000477 |
Entity Name | Uhs Of Pennsylvania, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124091715 PECOS PAC ID: 3971407438 Enrollment ID: O20050913000388 |
Mailing Address | Practice Location Address |
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Cheryl Bellanca Jack, MD 812 E Jolly Rd, Ste 210, Lansing, MI 48910-6818 Ph: (517) 346-8410 | Cheryl Bellanca Jack, MD 812 E Jolly Rd, Ste G12, Lansing, MI 48910-6818 Ph: (517) 346-8283 |
Dr. Harold Franklin Roth, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1627 Lake Lansing Rd, Suite 200, Lansing, MI 48912 Phone: 517-485-1789 Fax: 517-485-2357 | |
Kathleen M Connell, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6910 S Cedar St, Lansing, MI 48911 Phone: 517-694-4134 Fax: 517-694-1629 | |
Margaret Ijeoma Aguwa, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2929 Coventing Court, Lansing, MI 48912 Phone: 517-371-4971 Fax: 517-355-1710 | |
Peter H Cooke, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1717 N High St, Lansing, MI 48906 Phone: 517-371-1700 Fax: 517-268-6609 | |
Danielle Trinity Miller, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 901 E Mount Hope Ave, Lansing, MI 48910 Phone: 517-485-1153 | |
Dr. Thomas W Keaveney, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1322 E Michigan Ave, Suite 101, Lansing, MI 48912 Phone: 517-364-3900 Fax: 517-364-3514 | |
Dr. Beverly Ann Dronen, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3960 Patient Care Way, Suite 108, Lansing, MI 48911 Phone: 517-394-8589 Fax: 517-394-8594 |