Deepa S Macha, MD | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 788-4996 | |
(517) 796-6410 |
Full Name | Deepa S Macha |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 205 N East Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134121684 | NPI | - | NPPES |
01592292 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD059163L (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 4301091124 (Michigan) | Primary |
Entity Name | Kalamazoo Emergency Associates, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
Entity Name | Emergency Professionals Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
Mailing Address | Practice Location Address |
---|---|
Deepa S Macha, MD Po Box 67000, Department 272801, Detroit, MI 48267-0002 Ph: (517) 841-6913 | Deepa S Macha, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4996 |
Jonathan F. Bradley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 Fax: 517-796-6410 | |
Kevin Killian, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976 | |
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 | |
David Farhat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Joseph Peter Farrell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Elm Ave, Jackson, MI 49202 Phone: 517-788-6760 Fax: 517-788-3029 |