Jessica Rae Pruente, MD | |
2205 Commonwealth, Ann Arbor, MI 48105-2945 | |
(734) 936-7175 | |
Not Available |
Full Name | Jessica Rae Pruente |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 12 Years |
Location | 2205 Commonwealth, Ann Arbor, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619231362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.061297 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 4301114645 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of Michigan | 3779496856 | 2916 |
Entity Name | Regents Of The University Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
---|---|
Jessica Rae Pruente, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Jessica Rae Pruente, MD 2205 Commonwealth, Ann Arbor, MI 48105-2945 Ph: (734) 936-7175 |
Sharis Nicole Steib, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 325 E Eisenhower Pkwy, Ann Arbor, MI 48108 Phone: 734-647-2852 | |
Michael Chia-shao Hsu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 Phone: 734-936-7175 | |
Brian M Kelly, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2850 S Industrial Hwy Ste 400, Ann Arbor, MI 48104 Phone: 734-973-2400 | |
Edward A Hurvitz, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2205 Commonwealth Blvd, Ann Arbor, MI 48105 Phone: 734-936-7175 | |
Reina Nakamura, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 325 E Eisenhower Pkwy, Ann Arbor, MI 48108 Phone: 734-936-7175 | |
Lisa A Diponio, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 Phone: 734-936-7175 | |
Alecia Kupser Daunter, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2205 Commonwealth, Ann Arbor, MI 48105 Phone: 734-936-7175 |