Patrick Raycraft Fann, MD | |
205 N East Ave, Jackson, MI 49201-1753 | |
(323) 202-6118 | |
Not Available |
Full Name | Patrick Raycraft Fann |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 205 N East Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518594100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301507532 (Michigan) | Primary |
Entity Name | Iep Urgent Care - Jackson Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336725688 PECOS PAC ID: 0042619132 Enrollment ID: O20210521001112 |
Mailing Address | Practice Location Address |
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Patrick Raycraft Fann, MD 1655 Belmar Rd Apt 2, Cleveland Heights, OH 44118-1462 Ph: (323) 202-6118 | Patrick Raycraft Fann, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (323) 202-6118 |
Jonathan F. Bradley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 Fax: 517-796-6410 | |
Kevin Killian, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Deepa S Macha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976 | |
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 | |
David Farhat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Joseph Peter Farrell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Elm Ave, Jackson, MI 49202 Phone: 517-788-6760 Fax: 517-788-3029 |