Dr Mark Double, DO | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 788-4963 | |
(517) 789-5903 |
Full Name | Dr Mark Double |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 32 Years |
Location | 205 N East Ave, Jackson, 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 |
---|---|---|---|
1669403903 | NPI | - | NPPES |
4586940 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 51-01-011675 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Huron Gastroenterology Associates P.c. | 0840288221 | 67 |
Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 147 |
Entity Name | Huron Gastroenterology Associates P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144335639 PECOS PAC ID: 0840288221 Enrollment ID: O20040504001055 |
Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
Entity Name | Center For Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1164528527 PECOS PAC ID: 4981658374 Enrollment ID: O20050309000185 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Double, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4963 | Dr Mark Double, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4963 |
Dr. Melinda Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836 | |
Clemon Pardales, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Jose J. Rivera-melendez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Dr. Vinay Anad-raj Pallekonda, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-7230 | |
Dr. Daniel Robert Grutter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201 Phone: 517-205-3240 | |
Dr. Yung I Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Nicole M Horning, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 |