| Dr Jelanie Rae Bush, MD | |
|
3537 W Front St, Suite G, Traverse City, MI 49684-7941 | |
| (231) 935-8822 | |
| (231) 935-8837 |
| Full Name | Dr Jelanie Rae Bush |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3537 W Front St, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023271780 | NPI | - | NPPES |
| 1023271780 | Medicaid | MI | |
| 1417961137 | Other | MI | BCBSM - BRONSON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301092782 (Michigan) | Primary |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jelanie Rae Bush, MD 3537 W Front St, Suite G, Traverse City, MI 49684-7941 Ph: (231) 935-8822 | Dr Jelanie Rae Bush, MD 3537 W Front St, Suite G, Traverse City, MI 49684-7941 Ph: (231) 935-8822 |
Cynthia Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5024 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0555 Fax: 231-935-0562 | |
Dr. Claire Ward, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 447 Munson Ave, Traverse City, MI 49686 Phone: 231-929-9090 Fax: 231-929-9092 | |
Dr. Lisa Chimner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837 | |
Dr. Benjamin Hazen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4020 W Royal Dr, Traverse City, MI 49684 Phone: 231-421-8099 | |
Jacques Burgess, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 Fax: 231-346-6017 | |
Dr. Andrew David Tursman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837 |