| Jennifer Christine Maxam Fenner, DO | |
|
419 W. Wackerly St, Midland, MI 48640 | |
| (989) 631-9515 | |
| (989) 835-6824 |
| Full Name | Jennifer Christine Maxam Fenner |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 419 W. Wackerly St, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679542922 | NPI | - | NPPES |
| 4287010 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | JG013790 (Michigan) | Primary |
| Entity Name | Family Medicine Associates Of Midland Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033188735 PECOS PAC ID: 6204896962 Enrollment ID: O20041016000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Christine Maxam Fenner, DO 419 W. Wackerly St, Midland, MI 48640 Ph: (989) 631-9515 | Jennifer Christine Maxam Fenner, DO 419 W. Wackerly St, Midland, MI 48640 Ph: (989) 631-9515 |
Dr. Rachel Sawaya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640 Phone: 989-837-9250 Fax: 989-837-9255 | |
Dr. Denise Kay Schaffert, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 W Wackerly St, Midland, MI 48640 Phone: 989-839-9937 Fax: 989-839-9220 | |
Monica Dhar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 N Campus Ridge Dr, Suite D2400, Midland, MI 48640 Phone: 989-837-9250 Fax: 989-837-9255 | |
Dr. Ann Marie Snider, M.D., PH.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 | |
Loabat Amiri, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-488-5850 Fax: 989-488-5865 | |
Hugo Juarbe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 419 W. Wackerly St, Midland, MI 48640 Phone: 989-631-9515 Fax: 989-835-6824 | |
Brian Mauch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4401 N Campus Ridge Dr, Suite D2400, Midland, MI 48640 Phone: 989-837-9250 Fax: 989-837-9255 |