| Rappha Medical Center, P.l.l.c. | |
|
3911 Stonegate Park Dr Saint Joseph MI 49085 | |
| (269) 408-1777 | |
| (269) 408-1755 |
| Full Name | Rappha Medical Center, P.l.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3911 Stonegate Park Dr, Saint Joseph, Michigan |
| Authorized Official Name and Position | Sherrell A O'donnell (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2694081777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rappha Medical Center, P.l.l.c. 3911 Stonegate Park Dr Saint Joseph MI 49085 Ph: (269) 408-1777 | Rappha Medical Center, P.l.l.c. 3911 Stonegate Park Dr Saint Joseph MI 49085 Ph: (269) 408-1777 |
| NPI Number | 1184646267 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 06/04/2021 |
| Medicare PECOS PAC ID | 8123096021 |
|---|---|
| Medicare Enrollment ID | O20040920000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184646267 | NPI | - | NPPES |
| 1151101075 | Other | MI | BCBS |
| 114507301 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101014079 (Michigan) | Primary |
| Provider Name | Sherrell Anne Odonnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699771725 PECOS PAC ID: 7113995010 Enrollment ID: I20040921000185 |
| Provider Name | Ernest Alexander Vera-vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689968349 PECOS PAC ID: 2961625561 Enrollment ID: I20140529001589 |
| Provider Name | Tanya Sobaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322534 PECOS PAC ID: 3870841885 Enrollment ID: I20180808001250 |
| Provider Name | Tonya R Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025615 PECOS PAC ID: 0941510051 Enrollment ID: I20200314000071 |
| Provider Name | Madonna Fabian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124438411 PECOS PAC ID: 9931470754 Enrollment ID: I20210609000606 |
Brian T Doyle Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Momany Dr, Saint Joseph, MI 49085 Phone: 269-982-1947 Fax: 269-982-1950 | |
Madonna Fabian Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3078 Niles Rd, Saint Joseph, MI 49085 Phone: 323-547-2155 | |
Lakeland Physician Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-684-0259 Fax: 269-684-0189 | |
Arcadia Family Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park Ste F, Saint Joseph, MI 49085 Phone: 810-624-1586 | |
Lakeland Neurosurgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Hollywood Rd, Suite 210, Saint Joseph, MI 49085 Phone: 269-556-1990 Fax: 269-556-1996 | |
Southwestern Infectious Diease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 |