Shana A Ageloff-kupetz, MD | |
3235 E Michigan Ave, Jackson, MI 49202-3971 | |
(517) 787-3280 | |
(517) 787-9680 |
Full Name | Shana A Ageloff-kupetz |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 3235 E Michigan 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 |
---|---|---|---|
1437385382 | NPI | - | NPPES |
45592 | Other | CO | STATE LICENSE |
080G31660 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
185245 | Other | MI | GREAT LAKES HREALTH PLAN OF MICHIGAN |
381908328 | Other | MO | HCAP |
1437385382 | Medicaid | MI | |
381908328 | Other | MI | PRIORITY HEALTH |
1437385382 | Other | MI | MOLINA HEALTH PLAN OF MICHIGAN |
381908328470 | Other | MI | CARE SOURCE OF MICHIGAN |
1062975 | Other | MI | MCLAREN HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301097152 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Allegiance Home Care | Jackson, MI | Home health agency |
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 | 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 |
---|---|
Shana A Ageloff-kupetz, MD 3235 E Michigan Ave, Jackson, MI 49202-3971 Ph: (517) 787-3280 | Shana A Ageloff-kupetz, MD 3235 E Michigan Ave, Jackson, MI 49202-3971 Ph: (517) 787-3280 |
Rubana Khan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 810-931-5407 | |
Erin Nicole Murfey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hinckley Blvd, Ste 100, Jackson, MI 49203 Phone: 517-784-0141 Fax: 517-787-3462 | |
Maria Soto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 W North St, Jackson, MI 49202 Phone: 517-782-2555 Fax: 517-782-3399 | |
Mohamed El Fakiy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 816-394-6643 | |
Dr. Robert N Israel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Seymour Ave, Jackson, MI 49202 Phone: 517-782-5700 Fax: 517-782-3141 | |
Ray H King, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Hinckley Blvd, Suite 100, Jackson, MI 49203 Phone: 517-784-0588 Fax: 517-784-3866 | |
William Bradley Bivens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2585 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-784-0032 Fax: 517-784-8959 |