Jeffrey R Johnson, MD | |
1675 Watertower Place, Suite 100, East Lansing, MI 48823 | |
(517) 332-0200 | |
(517) 332-0963 |
Full Name | Jeffrey R Johnson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1675 Watertower Place, 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 |
---|---|---|---|
1730160904 | NPI | - | NPPES |
3493103 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301042405 (Michigan) | Primary |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457744666 PECOS PAC ID: 6709799166 Enrollment ID: O20150529000465 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey R Johnson, MD 1675 Watertower Place, Suite 100, East Lansing, MI 48823 Ph: (517) 332-0200 | Jeffrey R Johnson, MD 1675 Watertower Place, Suite 100, East Lansing, MI 48823 Ph: (517) 332-0200 |
Dr. James Clarkson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Robert L Osmer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 South Hagadorn Road, Suite 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-267-2462 | |
Dr. Harvey Bumpers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd, #600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Dr. Timothy Melvin Mckenna, DO Surgery Medicare: Medicare Enrolled Practice Location: 1675 Watertower Place, Suite 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
Dr. David E Hagan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1675 Watertower Place, Ste 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
Dr. Janet Rose Osuch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4600 S Hagadorn Rd # 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
Tong Qu, MD Surgery Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 |