Travis Jon Short, DO | |
1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897 | |
(517) 364-5252 | |
Not Available |
Full Name | Travis Jon Short |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 1200 E Michigan Ave Ste 245, Lansing, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073033197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101023443 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Edward W Sparrow Hospital | Lansing, MI | Hospital |
Sparrow Clinton Hospital | Saint johns, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Edward W Sparrow Hospital Association | 6709799166 | 525 |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
Mailing Address | Practice Location Address |
---|---|
Travis Jon Short, DO 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897 Ph: (517) 364-5252 | Travis Jon Short, DO 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897 Ph: (517) 364-5252 |
Daniel Francis Bouchard, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 E Michigan Ave, Osteopathic Internship Sparrow Hospital, Lansing, MI 48912 Phone: 231-955-3360 | |
Dr. Deja Danielle Rice, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Sparrow Health Systems 1215 E Michigan Avenue, Lansing, MI 48912 Phone: 517-364-5710 | |
Jana Haidar Ahmad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710 | |
Shimia Isaac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245, Lansing, MI 48912 Phone: 517-364-5772 | |
Katrina Anne Weirauch Engle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245-c, Lansing, MI 48912 Phone: 517-364-5772 Fax: 517-364-5764 | |
David Jonathan Pohl, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912 Phone: 517-913-3820 Fax: 517-913-3821 | |
Dr. Harshini A Jayasuriya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 N Washington Sq Ste 300, Lansing, MI 48933 Phone: 517-258-0344 Fax: 517-879-0374 |