| Jessica Henderson, DO | |
| 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | |
| (517) 267-2460 | |
| (517) 884-8602 | 
| Full Name | Jessica Henderson | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 4660 S Hagadorn Rd Ste 600, 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 | 
|---|---|---|---|
| 1730536475 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 5101026820 (Michigan) | Primary | 
| 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 | 
|---|---|
| Jessica Henderson, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 267-2460 | Jessica Henderson, DO 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 Ph: (517) 267-2460 | 
| Dr. James Clarkson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
| Robert L Osmer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 South Hagadorn Road, Suite 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-267-2462 | |
| Dr. Harvey Bumpers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd, #600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
| Dr. Timothy Melvin Mckenna, DO Surgery Medicare: Medicare Enrolled Practice Location: 1675 Watertower Place, Suite 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
| Dr. David E Hagan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1675 Watertower Place, Ste 100, East Lansing, MI 48823 Phone: 517-332-0200 Fax: 517-332-0963 | |
| Dr. Janet Rose Osuch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4600 S Hagadorn Rd # 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 | |
| Tong Qu, MD Surgery Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-267-2460 Fax: 517-884-8602 |