| Dr Jacob Thomas Johengen, DO | |
|
870 E Arkona Rd Ste 100, Milan, MI 48160-9770 | |
| (734) 439-2429 | |
| (734) 439-0200 |
| Full Name | Dr Jacob Thomas Johengen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 870 E Arkona Rd Ste 100, Milan, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154945558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5151014543 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Thomas Johengen, DO 24 Frank Lloyd Wright Dr # J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Dr Jacob Thomas Johengen, DO 870 E Arkona Rd Ste 100, Milan, MI 48160-9770 Ph: (734) 439-2429 |
Kimberly Eden Berke, Family Medicine Medicare: Medicare Enrolled Practice Location: 870 E Arkona Rd Ste 100, Milan, MI 48160 Phone: 734-439-2429 | |
Joseph B Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 E Main St, Milan, MI 48160 Phone: 734-439-8433 Fax: 734-439-8455 | |
Gary Jasbeck, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 870 E Arkona Rd, Suite 100, Milan, MI 48160 Phone: 734-439-2429 Fax: 734-439-0200 | |
Gregory Allen Scherle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4004 Arkona Road, Milan, MI 48160 Phone: 734-439-1511 | |
Dr. Maria Heck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 870 E Arkona Rd, Suite 100, Milan, MI 48160 Phone: 734-439-2429 Fax: 734-439-0200 | |
Sarah Taub, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 870 E Arkona Rd, Suite 100, Milan, MI 48160 Phone: 734-439-2429 |