| Allegiance Health | |
|
205 N East Ave Jackson MI 49201-1753 | |
| (517) 788-4800 | |
| Not Available |
| Full Name | Allegiance Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 N East Ave, Jackson, Michigan |
| Authorized Official Name and Position | Jeanne' Wickens (SENIOR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5177884883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Health Po Box 67000 Department 272801 Detroit MI 48267-2728 Ph: (517) 841-6913 | Allegiance Health 205 N East Ave Jackson MI 49201-1753 Ph: (517) 788-4800 |
| NPI Number | 1326078866 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/04/2008 |
| Medicare PECOS PAC ID | 0244136067 |
|---|---|
| Medicare Enrollment ID | O20031211000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326078866 | NPI | - | NPPES |
| 260C863890 | Other | BCBSM | |
| 750910501 | Other | MI | BCBSM |
| 680C810300 | Other | MI | BCBSM |
| CC5829 | Other | MI | RR MEDICARE |
| 800C810270 | Other | MI | BCBSM |
| Provider Name | Jolene D Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255395612 PECOS PAC ID: 3476457441 Enrollment ID: I20031121000185 |
| Provider Name | Laura K Corrigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588739221 PECOS PAC ID: 3678555349 Enrollment ID: I20040605000058 |
| Provider Name | Alicja Dorota Wasilewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821057159 PECOS PAC ID: 8628054087 Enrollment ID: I20040625001037 |
| Provider Name | John J Wald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275627366 PECOS PAC ID: 6800858630 Enrollment ID: I20041103000151 |
| Provider Name | Sharon D Rouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619973229 PECOS PAC ID: 5395713614 Enrollment ID: I20041223000239 |
| Provider Name | Margaret M Samaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194866483 PECOS PAC ID: 2466401559 Enrollment ID: I20050114000800 |
| Provider Name | Aurif Abedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922064922 PECOS PAC ID: 2163473919 Enrollment ID: I20050209000348 |
| Provider Name | Leonard C Vanderlinde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235142548 PECOS PAC ID: 7113979865 Enrollment ID: I20050210000804 |
| Provider Name | Albert P Rocchini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659313799 PECOS PAC ID: 4486697422 Enrollment ID: I20050609000913 |
| Provider Name | Kimberly Dawn Aiken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154387116 PECOS PAC ID: 0244275550 Enrollment ID: I20050627000607 |
| Provider Name | Anjum A Handoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750320479 PECOS PAC ID: 5092739516 Enrollment ID: I20060123000784 |
| Provider Name | Ahmad W Zubairi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801852694 PECOS PAC ID: 2769464718 Enrollment ID: I20060502000429 |
| Provider Name | Sandra Kilian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669427027 PECOS PAC ID: 5597863001 Enrollment ID: I20070607000084 |
| Provider Name | Holly E Lorigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023216488 PECOS PAC ID: 8426142373 Enrollment ID: I20070921000808 |
| Provider Name | Amer G Aboukasm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194754085 PECOS PAC ID: 7911042304 Enrollment ID: I20100310000464 |
| Provider Name | Manzar Y Rajput |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851358527 PECOS PAC ID: 9335277987 Enrollment ID: I20100503000513 |
| Provider Name | John Mogerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699732677 PECOS PAC ID: 0547392581 Enrollment ID: I20100709000630 |
| Provider Name | James Bennett Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790791952 PECOS PAC ID: 4587796214 Enrollment ID: I20100715000953 |
| Provider Name | Samy Y Wassef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437116118 PECOS PAC ID: 4082808423 Enrollment ID: I20101029001344 |
| Provider Name | Tobias Walbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952511933 PECOS PAC ID: 6305031592 Enrollment ID: I20101112001257 |
| Provider Name | Sylvia Anagnos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255428967 PECOS PAC ID: 9931199056 Enrollment ID: I20110218001019 |
| Provider Name | Vessela Giger-mateeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487896254 PECOS PAC ID: 4789855776 Enrollment ID: I20110923000201 |
| Provider Name | Humaira Fahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689805087 PECOS PAC ID: 8628245248 Enrollment ID: I20120124000088 |
| Provider Name | Patricia Strimpel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021860 PECOS PAC ID: 8426215740 Enrollment ID: I20120128000023 |
| Provider Name | April E Yuki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437318896 PECOS PAC ID: 2163693813 Enrollment ID: I20120727000741 |
| Provider Name | Kristin D Mcarthur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720213556 PECOS PAC ID: 5991939662 Enrollment ID: I20131011000941 |
| Provider Name | Binh Q Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114138633 PECOS PAC ID: 7911190574 Enrollment ID: I20140224001935 |
| Provider Name | Carolyn Louise Seifert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720011869 PECOS PAC ID: 8820082514 Enrollment ID: I20140322000115 |
| Provider Name | Virginia Skiba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346226883 PECOS PAC ID: 4284865379 Enrollment ID: I20140403000787 |
| Provider Name | Zachary S Gleeson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063704781 PECOS PAC ID: 8527291566 Enrollment ID: I20140429000695 |
| Provider Name | Sadia Najamuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922242635 PECOS PAC ID: 6709007651 Enrollment ID: I20141020000426 |
| Provider Name | James Snyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699089128 PECOS PAC ID: 4486959681 Enrollment ID: I20160225002430 |
| Provider Name | Jillian Rnea Gervais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097434 PECOS PAC ID: 3678879202 Enrollment ID: I20160308002522 |
| Provider Name | John Scott Schuster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245201607 PECOS PAC ID: 7517054687 Enrollment ID: I20160309000089 |
| Provider Name | Stephanie Lynn Videan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669800975 PECOS PAC ID: 3971809492 Enrollment ID: I20160309002715 |
| Provider Name | Ahmad M Charaf Eddine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598968158 PECOS PAC ID: 3779629779 Enrollment ID: I20161018001646 |
| Provider Name | Justin T Conley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033135298 PECOS PAC ID: 9931103330 Enrollment ID: I20161028001702 |
| Provider Name | Kevin Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265846158 PECOS PAC ID: 8921314311 Enrollment ID: I20161110002048 |
| Provider Name | Lusine K Kirakosyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669737961 PECOS PAC ID: 2264734243 Enrollment ID: I20171026001783 |
| Provider Name | Suzanne Pavlou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669414355 PECOS PAC ID: 4688838238 Enrollment ID: I20180220001971 |
| Provider Name | Samuel Neher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467831149 PECOS PAC ID: 9739495235 Enrollment ID: I20180612001066 |
| Provider Name | Sharon Marie Nackashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083092712 PECOS PAC ID: 8527314707 Enrollment ID: I20180629001899 |
| Provider Name | Tsz-ming Chow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689679714 PECOS PAC ID: 6204868995 Enrollment ID: I20190521000258 |
| Provider Name | Alfredo Davalos Balderas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851735831 PECOS PAC ID: 2860740776 Enrollment ID: I20190716001550 |
| Provider Name | Lauren D Ottenhoff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831584499 PECOS PAC ID: 2163724659 Enrollment ID: I20190718000068 |
| Provider Name | Neena Jamwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841454816 PECOS PAC ID: 0840628145 Enrollment ID: I20200320000456 |
| Provider Name | Ahmad Yusuf Solaiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598151284 PECOS PAC ID: 5890073399 Enrollment ID: I20200429000237 |
| Provider Name | Nicole Marie Digiannantonio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063808731 PECOS PAC ID: 1951611037 Enrollment ID: I20200429002777 |
| Provider Name | Jamal Farooq Khattak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144648429 PECOS PAC ID: 7214242643 Enrollment ID: I20200721003256 |
| Provider Name | Jian Xu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578941225 PECOS PAC ID: 8022310432 Enrollment ID: I20200821002493 |
| Provider Name | Gautam Kumar Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245258920 PECOS PAC ID: 0749249100 Enrollment ID: I20210405000866 |
| Provider Name | Tulasi Deepthi Karri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912493107 PECOS PAC ID: 3274942164 Enrollment ID: I20210505001332 |
| Provider Name | Jennifer Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891348041 PECOS PAC ID: 5991035164 Enrollment ID: I20210506002196 |
| Provider Name | Zehra Farzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396109856 PECOS PAC ID: 8123431525 Enrollment ID: I20210607001486 |
| Provider Name | Vivien Phung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447754437 PECOS PAC ID: 8628408929 Enrollment ID: I20210630000214 |
| Provider Name | Teresa Kuhta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851738041 PECOS PAC ID: 7315232311 Enrollment ID: I20220705001975 |
| Provider Name | Noreen K Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831751643 PECOS PAC ID: 4981036365 Enrollment ID: I20220909000916 |
| Provider Name | Lawrence Zeidman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467608943 PECOS PAC ID: 7517012925 Enrollment ID: I20230130000865 |
| Provider Name | Joy Lerner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811425556 PECOS PAC ID: 4385074152 Enrollment ID: I20230214000392 |
| Provider Name | Ekaterina Iausheva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679182778 PECOS PAC ID: 7012372642 Enrollment ID: I20230503001766 |
| Provider Name | Shreya Sekaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477012797 PECOS PAC ID: 8123427606 Enrollment ID: I20240529002535 |
Alexis Ahlbaum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5633 Poplar Dr, Jackson, MI 49201 Phone: 517-270-1994 | |
Cycle Of Life Support Chs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Ganson St, Jackson, MI 49202 Phone: 616-275-8930 Fax: 616-608-3693 | |
Inner Guidance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 W Michigan Ave, Jackson, MI 49201 Phone: 517-416-8878 Fax: 517-962-5316 | |
Center For Family Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 | |
Lifeways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-789-1209 Fax: 517-796-4532 | |
Highfields Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4250 | |
Lifeways Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-789-1209 Fax: 517-796-4532 |