Jessica Henderson, DO | |
4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | |
(517) 267-2460 | |
(517) 884-8602 |
Full Name | Jessica Henderson |
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Gender | Female |
Speciality | Surgery |
Location | 4660 S Hagadorn Rd Ste 600, East 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 |
---|---|---|---|
1730536475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101026820 (Michigan) | Primary |
Entity Name | Msu Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
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Jessica Henderson, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 267-2460 | Jessica Henderson, DO 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 Ph: (517) 267-2460 |
Dr. James Clarkson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Robert L Osmer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 South Hagadorn Road, Suite 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-267-2462 | |
Dr. Harvey Bumpers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd, #600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Dr. Timothy Melvin Mckenna, DO Surgery Medicare: Medicare Enrolled Practice Location: 1675 Watertower Place, Suite 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
Dr. David E Hagan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1675 Watertower Place, Ste 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
Dr. Janet Rose Osuch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4600 S Hagadorn Rd # 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Tong Qu, MD Surgery Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 |