| Dr David A Patrick, DO | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 205-4911 | |
| Not Available |
| Full Name | Dr David A Patrick |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 205 N East Ave, Jackson, 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 |
|---|---|---|---|
| 1184643025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101011343 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msu Health Care Inc | 8628404936 | 210 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831123728 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000875 |
| Entity Name | Spartan Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Patrick, DO 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Dr David A Patrick, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-4911 |
David A Williamson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
James E Heisel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
Mohammad Asad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Dept, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
Libby S Anderson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-6095 | |
Paula Novelli, Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Services H.f. Allegiance Health, Jackson, MI 49201 Phone: 517-783-2612 | |
Dr. Waseem Ullah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Services, Jackson, MI 49201 Phone: 517-783-2612 Fax: 571-783-5991 |