| Dr Jasmine A Cherian, MD | |
|
2002 S 11th St, Niles, MI 49120-4074 | |
| (269) 687-0200 | |
| Not Available |
| Full Name | Dr Jasmine A Cherian |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2002 S 11th St, Niles, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417004219 | NPI | - | NPPES |
| JC044588 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 314483710 | Medicaid | MI | |
| 1417004219 | Medicaid | MI | |
| 700H262280 | Other | BLUE CROSS-BLUE CROSS | |
| JC044588 | Other | CHAMPUS-CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301044588 (Michigan) | Secondary |
| 208000000X | Pediatrics | 80138 (Connecticut) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jasmine A Cherian, MD 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 | Dr Jasmine A Cherian, MD 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 |
Dr. Lois G Lello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Dr. Christopher J Harvey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Sunil John, Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 | |
Dr. Leanne M Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-684-0200 Fax: 269-684-0199 | |
Aileen Jo Vitangcol, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Lee Morris, Pediatrics Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-985-4632 |