| Jake Graehm Halvorsen, DO | |
|
11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | |
| (586) 582-6630 | |
| (586) 582-6631 |
| Full Name | Jake Graehm Halvorsen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 11885 E 12 Mile Rd, Warren, 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 |
|---|---|---|---|
| 1497015002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101019943 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parker Adventist Hospital | Parker, CO | Hospital |
| Castle Rock Adventist Hospital | Castle rock, CO | Hospital |
| Littleton Adventist Hospital, Centura Health | Littleton, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usacs Community Emergency Services Of Colorado Inc. | 2466711536 | 172 |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Graehm Halvorsen, DO 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 Ph: (586) 582-6630 | Jake Graehm Halvorsen, DO 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 Ph: (586) 582-6630 |
Rachel Marie Koch, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Jon Whitman Mackey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Martin Irvin Schock, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11885 E 12 Mile Rd, Suite 100a, Warren, MI 48093 Phone: 586-576-1615 Fax: 586-576-1628 | |
Salim Meram, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-573-5890 Fax: 586-573-5525 | |
Larry B Tankanow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27472 Schoenherr Rd Ste 100, Warren, MI 48088 Phone: 586-751-8844 Fax: 586-751-8596 | |
Leslie Adele Scott, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Firas Zahwe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd Ste 308, Warren, MI 48093 Phone: 586-804-7525 Fax: 586-209-2486 |