| Mid-michigan Gastroenterology Consultants Pc | |
|
2424 Spring Arbor Rd Jackson MI 49203-2748 | |
| (517) 783-3112 | |
| (517) 783-6057 |
| Full Name | Mid-michigan Gastroenterology Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2424 Spring Arbor Rd, Jackson, Michigan |
| Authorized Official Name and Position | Lynn Timothy Schachinger (PRESIDENT) |
| Authorized Official Contact | 5177833112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-michigan Gastroenterology Consultants Pc 2424 Spring Arbor Rd Jackson MI 49203-2748 Ph: (517) 783-3112 | Mid-michigan Gastroenterology Consultants Pc 2424 Spring Arbor Rd Jackson MI 49203-2748 Ph: (517) 783-3112 |
| NPI Number | 1407980246 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 03/10/2021 |
| Medicare PECOS PAC ID | 1850323684 |
|---|---|
| Medicare Enrollment ID | O20050901000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407980246 | NPI | - | NPPES |
| 200000004876 | Other | MI | PHP |
| 1053808245 | Other | MI | BCBSM |
| 3216444 | Medicaid | MI | |
| 100008017 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 010043 (Michigan) | Primary |
| Provider Name | Lynn T Schachinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851420947 PECOS PAC ID: 5698707347 Enrollment ID: I20050909000199 |
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