Dr Jill L Gorsuch, DO, MPH | |
42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 | |
(269) 684-6696 | |
(269) 684-5286 |
Full Name | Dr Jill L Gorsuch |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 42 N Saint Joseph Ave, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851523377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | L1593656 (Michigan) | Secondary |
208600000X | Surgery | 5101018409 (Michigan) | Primary |
208600000X | Surgery | 006332 (Arizona) | Secondary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Dr Jill L Gorsuch, DO, MPH 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 Ph: (269) 684-6696 | Dr Jill L Gorsuch, DO, MPH 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 Ph: (269) 684-6696 |
Dr. Emily A Mitchell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 100, Niles, MI 49120 Phone: 269-684-6696 | |
Dr. Brian Elbert Bates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120 Phone: 269-684-6696 Fax: 269-684-5286 | |
Dr. Florentino Arpon Aquino, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite C-2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |