Mrs Jessica E Paonessa, MD | |
1221 Sixth St Ste 100, Traverse City, MI 49684 | |
(231) 935-0322 | |
(231) 935-0334 |
Full Name | Mrs Jessica E Paonessa |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 17 Years |
Location | 1221 Sixth St Ste 100, Traverse City, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386760122 | NPI | - | NPPES |
03884526 | Medicaid | NY | |
201112070 | Medicaid | IN | |
000000792827 | Other | IN | ANTHEM PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 274692 (New York) | Secondary |
208800000X | Urology | 01071233A (Indiana) | Secondary |
208800000X | Urology | 4301113807 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Medical Center | Traverse city, MI | Hospital |
Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munson Medical Center | 3072426287 | 262 |
Entity Name | Munson Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica E Paonessa, MD 1221 Sixth St Ste 100, Traverse City, MI 49684-2359 Ph: (231) 935-0322 | Mrs Jessica E Paonessa, MD 1221 Sixth St Ste 100, Traverse City, MI 49684 Ph: (231) 935-0322 |
Dr. Ward Robert Gillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Andrew Charles Luea, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 | |
Michael Harris, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr Ste 200, Traverse City, MI 49684 Phone: 231-600-7466 Fax: 877-370-4631 | |
Diane Begg Young, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Wayne Kenneth Stefanciw, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Robert Michael Hall, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 |