Dr Jimmie Daniel Woodall, DO | |
1005 W Green St, Ste 301, Hastings, MI 49058-1712 | |
(269) 945-8080 | |
(269) 945-8081 |
Full Name | Dr Jimmie Daniel Woodall |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 13 Years |
Location | 1005 W Green St, Hastings, 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 |
---|---|---|---|
1649566076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101019223 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health Pennock | Hastings, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pennock Hospital | 4587551015 | 41 |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Entity Name | Pennock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595 |
Entity Name | Barry-eaton District Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982768032 PECOS PAC ID: 6800708843 Enrollment ID: O20040913001300 |
Mailing Address | Practice Location Address |
---|---|
Dr Jimmie Daniel Woodall, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Jimmie Daniel Woodall, DO 1005 W Green St, Ste 301, Hastings, MI 49058-1712 Ph: (269) 945-8080 |
Mr. Oscar Degoa, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1108 W State Street, Suite 3, Hastings, MI 49058 Phone: 269-948-8015 Fax: 269-948-8734 | |
Dr. Laura J Kota, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-8080 Fax: 269-945-8081 | |
Megan Haber, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 |