| Dr Jimmie Daniel Woodall, DO | |
|
1005 W Green St, Ste 301, Hastings, MI 49058-1712 | |
| (269) 945-8080 | |
| (269) 945-8081 |
| Full Name | Dr Jimmie Daniel Woodall |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 14 Years |
| Location | 1005 W Green St, Hastings, 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 |
|---|---|---|---|
| 1649566076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101019223 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health Pennock | Hastings, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennock Hospital | 4587551015 | 46 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Pennock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595 |
| Entity Name | Barry-eaton District Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982768032 PECOS PAC ID: 6800708843 Enrollment ID: O20040913001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jimmie Daniel Woodall, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Jimmie Daniel Woodall, DO 1005 W Green St, Ste 301, Hastings, MI 49058-1712 Ph: (269) 945-8080 |
Mr. Oscar Degoa, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1108 W State Street, Suite 3, Hastings, MI 49058 Phone: 269-948-8015 Fax: 269-948-8734 | |
Dr. Laura J Kota, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-8080 Fax: 269-945-8081 | |
Megan Haber, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 |