| Dr Jeffrey Richard Kovan, DO | |
|
4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | |
| (517) 884-6100 | |
| (517) 884-6233 |
| Full Name | Dr Jeffrey Richard Kovan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 4660 S Hagadorn Rd Ste 420, East Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902819162 | NPI | - | NPPES |
| 1902819162 | Medicaid | MI | |
| 3194525 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010030 (Michigan) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 5101010030 (Michigan) | Primary |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598145997 PECOS PAC ID: 6709799166 Enrollment ID: O20150805007325 |
| 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 Jeffrey Richard Kovan, DO 4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823-5353 Ph: (517) 884-6100 | Dr Jeffrey Richard Kovan, DO 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 Ph: (517) 884-6100 |
Dr. Fiel Ybanez Cunningham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Michael J Hafran, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Christine A Blakeney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 Ramblewood Dr., Suite 100, East Lansing, MI 48823 Phone: 517-324-9400 Fax: 517-324-9482 | |
Dr. Cynthia A. Buchweitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Asher Ct, Suite 200, East Lansing, MI 48823 Phone: 517-337-8580 Fax: 517-337-8577 | |
Megan Quinlan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Julia Bowman Popenoe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
Dr. Robin Hazard Demuth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Suite A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742 |