| Jennifer A Shockley, MD | |
|
115 Bridge St, Elk Rapids, MI 49629-5110 | |
| (231) 264-0399 | |
| (231) 264-0212 |
| Full Name | Jennifer A Shockley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 115 Bridge St, Elk Rapids, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336139658 | NPI | - | NPPES |
| 4415237 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301074526 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Therapy Housecalls Pc | 7719876580 | 54 |
| Elk Rapids Primary Care Plc | 8527029818 | 2 |
| Entity Name | Elk Rapids Primary Care Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174672968 PECOS PAC ID: 8527029818 Enrollment ID: O20041020000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Shockley, MD Po Box 888, Elk Rapids, MI 49629-0888 Ph: (231) 264-0399 | Jennifer A Shockley, MD 115 Bridge St, Elk Rapids, MI 49629-5110 Ph: (231) 264-0399 |
Mrs. Maureen Reynolds Street, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9060 N Bayshore Dr Ste 2, Elk Rapids, MI 49629 Phone: 231-498-4552 Fax: 866-920-0420 | |
Dr. Steven M Pray, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Bridge St, Elk Rapids, MI 49629 Phone: 231-264-0399 Fax: 231-264-0212 |