Robert Kenneth Orr Jr, DO | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 788-4800 | |
(517) 796-6410 |
Full Name | Robert Kenneth Orr Jr |
---|---|
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 |
---|---|---|---|
1851325955 | NPI | - | NPPES |
P00323702 | Other | MI | RR MEDICARE |
114896255 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101007893 (Michigan) | Primary |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265487722 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000808 |
Entity Name | Emergency Department Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
Entity Name | Legacy Physician Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801800719 PECOS PAC ID: 0648277830 Enrollment ID: O20061101000048 |
Mailing Address | Practice Location Address |
---|---|
Robert Kenneth Orr Jr, DO Po Box 67000, Department 272801, Detroit, MI 48267-2728 Ph: (517) 841-6913 | Robert Kenneth Orr Jr, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 |
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 |