Donna M O'neill M.d. P.c. | |
1100 E Michigan Ave Suite 305 Jackson MI 49201-1847 | |
(517) 788-4781 | |
(517) 788-4799 |
Full Name | Donna M O'neill M.d. P.c. |
---|---|
Speciality | Internal Medicine |
Location | 1100 E Michigan Ave, Jackson, Michigan |
Authorized Official Name and Position | Peggy L Johnson (OFFICE MANAGER) |
Authorized Official Contact | 5177884781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Donna M O'neill M.d. P.c. 1100 E Michigan Ave Suite 305 Jackson MI 49201-1847 Ph: (517) 788-4781 | Donna M O'neill M.d. P.c. 1100 E Michigan Ave Suite 305 Jackson MI 49201-1847 Ph: (517) 788-4781 |
NPI Number | 1770796567 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2264463272 |
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Medicare Enrollment ID | O20050829000802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770796567 | NPI | - | NPPES |
2992806 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Vivek Kak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821009655 PECOS PAC ID: 7214912070 Enrollment ID: I20050622000589 |
Provider Name | Donna M Oneill |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1174534994 PECOS PAC ID: 4082645007 Enrollment ID: I20050830000288 |
Provider Name | Grace B Kulhanek |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1295858553 PECOS PAC ID: 4981862604 Enrollment ID: I20120225000129 |
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