Eleanor A Watson, MD | |
1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 | |
(517) 349-6560 | |
(517) 349-5796 |
Full Name | Eleanor A Watson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1600 W Grand River Ave Ste 2, Okemos, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194866046 | NPI | - | NPPES |
AAH000 | Other | MI | HEALTHNET |
350D410030 | Other | MI | BLUE CROSS BLUE SHIELD |
4915735 | Medicaid | MI | |
1020845 | Other | MI | MCLAREN HEALTH PLAN |
200000006359 | Other | MI | PHYSICIANS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301083120 (Michigan) | Primary |
Entity Name | Msu Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
---|---|
Eleanor A Watson, MD 804 Service Rd Ste A202, East Lansing, MI 48824-7015 Ph: (517) 349-6560 | Eleanor A Watson, MD 1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 Ph: (517) 349-6560 |
Dr. Jerold Paul Veldman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4436 Copperhill Dr, Okemos, MI 48864 Phone: 517-336-7128 Fax: 517-336-7128 | |
Kripa Thakur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Kristin Anne Weidert, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Ruth Ann Worthington, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Gd River Ave, Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Hiram Stephen Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Grand River Ave, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Lauren Marie Azevedo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-679-8232 |