Mrs Janet L Sprague, DO | |
820 Charlevoix Dr Ste 220, Grand Ledge, MI 48837-8188 | |
(517) 627-1000 | |
(517) 627-1004 |
Full Name | Mrs Janet L Sprague |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 820 Charlevoix Dr Ste 220, Grand Ledge, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962516047 | NPI | - | NPPES |
4427238 | Medicaid | MI | |
JS012810 | Other | MI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | JS012810 (Michigan) | Primary |
Entity Name | Cristo Rey Community Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407800931 PECOS PAC ID: 2365345576 Enrollment ID: O20040830000021 |
Mailing Address | Practice Location Address |
---|---|
Mrs Janet L Sprague, DO 820 Charlevoix Dr Ste 220, Grand Ledge, MI 48837-8188 Ph: (517) 627-1000 | Mrs Janet L Sprague, DO 820 Charlevoix Dr Ste 220, Grand Ledge, MI 48837-8188 Ph: (517) 627-1000 |
Dr. Joseph Paul Van Ark, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Dr. Kenneth Wynne Evans, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Charlevoix Dr, Grand Ledge, MI 48837 Phone: 517-627-0100 Fax: 517-627-0150 | |
David J Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 | |
Dr. Barbara D Saxena, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1814 Fax: 517-622-0694 | |
Dr. Quan D Nguyen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Eric G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 | |
Timothy J Izzo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 |