Dr Abigail Susan Smith, MD | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 205-7836 | |
(517) 205-7660 |
Full Name | Dr Abigail Susan Smith |
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Gender | Female |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1437618345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301508819 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Mailing Address | Practice Location Address |
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Dr Abigail Susan Smith, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-7836 | Dr Abigail Susan Smith, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-7836 |
Dr. Melinda Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836 | |
Clemon Pardales, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Jose J. Rivera-melendez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Dr. Vinay Anad-raj Pallekonda, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-7230 | |
Dr. Daniel Robert Grutter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201 Phone: 517-205-3240 | |
Dr. Yung I Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Nicole M Horning, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 |