| Jennifer J Parks, MD | |
|
1035 E Wilcox Ave, White Cloud, MI 49349 | |
| (231) 689-5943 | |
| (231) 689-1590 |
| Full Name | Jennifer J Parks |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1035 E Wilcox Ave, White Cloud, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700805199 | NPI | - | NPPES |
| 5217469 | Medicaid | MI | |
| 201135770 | Medicaid | IN | |
| 383218134 | Other | MI | TRICARE |
| 08-070-11602 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JP080605 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 01072082A (Indiana) | Secondary |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Novahealth Urgent Care Of Southfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841975620 PECOS PAC ID: 3678933520 Enrollment ID: O20230724002790 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J Parks, MD 117 W Paterson St, Kalamazoo, MI 49007-2557 Ph: (269) 349-2641 | Jennifer J Parks, MD 1035 E Wilcox Ave, White Cloud, MI 49349 Ph: (231) 689-5943 |
Angela E Ambrosia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1035 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-5943 Fax: 231-689-1590 | |
Dr. John George Briggs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1035 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-5943 | |
Dr. Sarah Weers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-5943 Fax: 231-689-1590 |