Dr Samantha Fugate Kennedy, DO | |
909 Fee Rd Ste B119, East Lansing, MI 48824 | |
(517) 353-3070 | |
(517) 432-3603 |
Full Name | Dr Samantha Fugate Kennedy |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 909 Fee Rd Ste B119, 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 |
---|---|---|---|
1154760312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 5101020751 (Michigan) | Primary |
Entity Name | Community Mental Health Authority Of Clinton Eaton Ingham Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265483457 PECOS PAC ID: 2668376732 Enrollment ID: O20031120000698 |
Entity Name | Hurley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
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 | Montcalm Care Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710074448 PECOS PAC ID: 8123000932 Enrollment ID: O20040623001391 |
Mailing Address | Practice Location Address |
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Dr Samantha Fugate Kennedy, DO 804 Service Rd, # A109f, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Samantha Fugate Kennedy, DO 909 Fee Rd Ste B119, East Lansing, MI 48824 Ph: (517) 353-3070 |
Debra F Duxbury, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
Dr. Jeffrey Allen Frey, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 Fee Rd, Fee Hall Room B119, East Lansing, MI 48824 Phone: 517-353-3070 Fax: 517-432-3603 | |
John-minh Nguyen, D.O Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 965 Fee Rd, A233, East Lansing, MI 48824 Phone: 714-823-5892 | |
Syed Hussain, M.B.B.S. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 804 Service Road, Room A217, East Lansing, MI 48824 Phone: 517-353-8122 | |
Dr. Tyson Burghardt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Road, Room A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713 | |
Dr. Carlos Margarito Hernandez, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 965 Wilson Rd Rm A233, East Lansing, MI 48824 Phone: 517-353-4362 | |
Michael J Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 965 Fee Road, Room A233, Msu And Affiliated Hospitals Psychiatry Residency Prog., East Lansing, MI 48824 Phone: 248-385-3888 |