| Jae Michael Green, PA-C | |
|
601 John St, Suite M424, Kalamazoo, MI 49007-5341 | |
| (269) 349-3350 | |
| (269) 349-2403 |
| Full Name | Jae Michael Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 601 John St, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437469731 | NPI | - | NPPES |
| 5601005905 | Other | MI | MICHIGAN STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5601005905 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601005905 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson Methodist Hospital | 0244148633 | 598 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Michael Green, PA-C 601 John St, Suite M424, Kalamazoo, MI 49007-5341 Ph: (269) 349-3350 | Jae Michael Green, PA-C 601 John St, Suite M424, Kalamazoo, MI 49007-5341 Ph: (269) 349-3350 |
Justine Melodie Oudsema, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Box 74, Kalamazoo, MI 49007 Phone: 269-341-8481 Fax: 269-341-7781 | |
Mr. Martin Joseph Clinard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 S Drake Rd, Kalamazoo, MI 49009 Phone: 269-343-1296 Fax: 269-344-8485 | |
Collier S Wiese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555 | |
Mrs. Leah Wiser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1903 W Michigan Ave, Sindecuse Health Center, Western Michigan University, Kalamazoo, MI 49008 Phone: 269-387-3287 Fax: 269-387-2944 | |
Nicholas S Lapenna, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6220 W Main St, Kalamazoo, MI 49009 Phone: 269-276-4744 Fax: 269-353-5856 | |
Nicolas James Harris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 John St Ste M-460, Kalamazoo, MI 49007 Phone: 269-341-7333 | |
Ms. Emily Anne Konal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Box 74, Kalamazoo, MI 49007 Phone: 586-746-9496 |