Nicole M Horning, | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 205-4800 | |
Not Available |
Full Name | Nicole M Horning |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 9 Years |
Location | 205 N East Ave, Jackson, 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 |
---|---|---|---|
1215317235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301117266 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Allegiance Health | Jackson, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
W A Foote Memorial Hospital Inc | 0244136067 | 410 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Mailing Address | Practice Location Address |
---|---|
Nicole M Horning, 3621 S State St, Provider Enrollment, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Nicole M Horning, 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-4800 |
Dr. Melinda Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836 | |
Clemon Pardales, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Jose J. Rivera-melendez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Dr. Vinay Anad-raj Pallekonda, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-7230 | |
Dr. Daniel Robert Grutter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201 Phone: 517-205-3240 | |
Dr. Yung I Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 |