Dr Jason Porter Hogaboam, DO | |
20599 Mack Ave, Grosse Pointe Medpost Urgent Care, Grosse Pointe Woods, MI 48236-1656 | |
(517) 279-5400 | |
Not Available |
Full Name | Dr Jason Porter Hogaboam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 20599 Mack Ave, Grosse Pointe Woods, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770847139 | NPI | - | NPPES |
A26570059 | Other | MI | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101019788 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Porter Hogaboam, DO 761 Sandalwood Dr, Troy, MI 48085-1643 Ph: (509) 264-1814 | Dr Jason Porter Hogaboam, DO 20599 Mack Ave, Grosse Pointe Medpost Urgent Care, Grosse Pointe Woods, MI 48236-1656 Ph: (517) 279-5400 |
Dr. Marivic D Massand, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 971 Canterbury Rd, Grosse Pointe Woods, MI 48236 Phone: 313-885-4489 | |
Jayant Eldurkar, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19251 Mack Ave Ste 100, Grosse Pointe Woods, MI 48236 Phone: 313-343-7852 | |
Dr. Sue Ting, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236 Phone: 248-376-3769 |