Mr Ronald J Flack, NP | |
762 W Michigan Ave, Jackson, MI 49201-1978 | |
(517) 782-8142 | |
(517) 782-0765 |
Full Name | Mr Ronald J Flack |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 762 W Michigan 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 |
---|---|---|---|
1477606614 | NPI | - | NPPES |
16789 | Other | MI | HEALTH PLAN OF MICHIGAN |
4733213 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704149271 (Michigan) | Primary |
Entity Name | Katranji Reconstructive Surgery Institute, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336314210 PECOS PAC ID: 7719052414 Enrollment ID: O20080814000426 |
Mailing Address | Practice Location Address |
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Mr Ronald J Flack, NP 762 W Michigan Ave, Jackson, MI 49201-1978 Ph: (517) 782-8142 | Mr Ronald J Flack, NP 762 W Michigan Ave, Jackson, MI 49201-1978 Ph: (517) 782-8142 |
Deanna Marie Tregoning, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Page Ave, Jackson, MI 49201 Phone: 517-787-1234 | |
Chelsea Marie Schaefer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201 Phone: 517-205-2143 | |
Sarah Kay Kilponen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Michigan Ave, Jackson, MI 49201 Phone: 517-205-8930 | |
Kamelia Reinhart, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E Michigan Ave Ste 240, Jackson, MI 49201 Phone: 517-205-1591 | |
Lauren Audrey Nemer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 N Jackson St Fl 1, Jackson, MI 49201 Phone: 262-312-4593 | |
Ms. Carol Ann Carney, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 N Mechanic St, Jackson, MI 49201 Phone: 517-879-1007 Fax: 888-828-8679 | |
Mrs. Sandra Kay Raby, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Michigan Ave Ste 102, Jackson, MI 49201 Phone: 517-205-1731 Fax: 517-205-7649 |