Jesse Duranceau, | |
7895 Currier Dr, Portage, MI 49002-4314 | |
(269) 321-7120 | |
Not Available |
Full Name | Jesse Duranceau |
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Gender | Male |
Speciality | Internal Medicine |
Location | 7895 Currier Dr, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255447769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101012305 (Michigan) | Primary |
Entity Name | Ascension Medical Group Promed |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Mailing Address | Practice Location Address |
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Jesse Duranceau, 5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016 Ph: () - | Jesse Duranceau, 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 321-7120 |
William Francis Hanavan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792 | |
Dr. Sarah Anne Wasserman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792 | |
Priyanka Bikkina, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St Ste 200, Portage, MI 49024 Phone: 269-341-8585 | |
Jeffrey M Coppinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 | |
Jaroslaw P Siwik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 | |
Dr. Deborah Esteves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-324-8670 Fax: 269-321-7154 | |
Todd J White, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 |