Jenny Lynn Bush, MD | |
100 Cherry St Se, Grand Rapids, MI 49503-4526 | |
(616) 458-8200 | |
(616) 940-5340 |
Full Name | Jenny Lynn Bush |
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Gender | Female |
Speciality | Pediatrics |
Location | 100 Cherry St Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699867895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301082271 (Michigan) | Primary |
Entity Name | Cherry Street Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274 |
Mailing Address | Practice Location Address |
---|---|
Jenny Lynn Bush, MD 100 Cherry St Se, Grand Rapids, MI 49503-4526 Ph: (616) 965-8200 | Jenny Lynn Bush, MD 100 Cherry St Se, Grand Rapids, MI 49503-4526 Ph: (616) 458-8200 |
Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897 | |
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118 | |
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999 | |
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999 | |
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810 | |
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191 |