| Iep - Post Acute Care Pllc | |
|
703 Robinson Rd Jackson MI 49203-2538 | |
| (517) 787-5140 | |
| (517) 787-0722 |
| Full Name | Iep - Post Acute Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 Robinson Rd, Jackson, Michigan |
| Authorized Official Name and Position | David Hall (OWNER) |
| Authorized Official Contact | 2485362127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iep - Post Acute Care Pllc Po Box 675460 Detroit MI 48267-5460 Ph: (248) 536-2127 | Iep - Post Acute Care Pllc 703 Robinson Rd Jackson MI 49203-2538 Ph: (517) 787-5140 |
| NPI Number | 1760166821 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0648631812 |
|---|---|
| Medicare Enrollment ID | O20230803003290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760166821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Holly J Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295786630 PECOS PAC ID: 1658397203 Enrollment ID: I20051021000830 |
| Provider Name | Jon M Lake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376561696 PECOS PAC ID: 1254242217 Enrollment ID: I20061130000131 |
| Provider Name | Kristina Lynn Sturgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720249667 PECOS PAC ID: 2264616010 Enrollment ID: I20110404000170 |
| Provider Name | Jacob S Sinkoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801232434 PECOS PAC ID: 4880823699 Enrollment ID: I20160318001625 |
| Provider Name | Sairia Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831537265 PECOS PAC ID: 1153547708 Enrollment ID: I20170508000444 |
| Provider Name | Amanpreet K Bhullar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255749735 PECOS PAC ID: 9436453347 Enrollment ID: I20170816003005 |
| Provider Name | Cindy A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801432687 PECOS PAC ID: 1951737907 Enrollment ID: I20200211000840 |
| Provider Name | Emmanuel Awdishu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720630205 PECOS PAC ID: 6204163306 Enrollment ID: I20220630000178 |
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