| Jessica Elaine Liggett, MD | |
|
3000 Old Centre Rd, Portage, MI 49024-4883 | |
| (269) 321-7546 | |
| (269) 321-1705 |
| Full Name | Jessica Elaine Liggett |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 20 Years |
| Location | 3000 Old Centre Rd, Portage, 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 |
|---|---|---|---|
| 1619179710 | NPI | - | NPPES |
| 1619179710 | Medicaid | MI | |
| 4301088493 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 4301088493 (Michigan) | Secondary |
| 207N00000X | Dermatology | 4301088493 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Pathology Services Of Southwest Michigan Pc | 1456598473 | 3 |
| Paragon Health P C | 1658283007 | 51 |
| Southwest Michigan Pathology Services, Pc | 5496009433 | 7 |
| Entity Name | Patholgy Services Of Kalamazoo Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548243595 PECOS PAC ID: 0143123034 Enrollment ID: O20040128001118 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013089820 PECOS PAC ID: 0244148633 Enrollment ID: O20040804000437 |
| Entity Name | Paragon Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902847098 PECOS PAC ID: 1658283007 Enrollment ID: O20080115000329 |
| Entity Name | Diagnostic Pathology Services Of Southwest Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912241597 PECOS PAC ID: 1456598473 Enrollment ID: O20130513000074 |
| Entity Name | Southwest Michigan Pathology Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467944181 PECOS PAC ID: 5496009433 Enrollment ID: O20181112000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Elaine Liggett, MD 3000 Old Centre Rd, Portage, MI 49024-4883 Ph: (269) 321-7546 | Jessica Elaine Liggett, MD 3000 Old Centre Rd, Portage, MI 49024-4883 Ph: (269) 321-7546 |
David Charles Semler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Dr. Ryan Timothy Jones, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Craig Albert Mohney, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Paul W Wang, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6100 Newport Rd, Suite 100, Portage, MI 49002 Phone: 269-343-4679 Fax: 269-343-5929 | |
Kelsey Robitaille, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
William F Weston, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6100 Newport Rd, Suite 100, Portage, MI 49002 Phone: 269-343-4679 Fax: 269-343-5929 |