| Jessica M Paquette, DO | |
|
718 N Saint Joseph St Unit K1, Suttons Bay, MI 49682-8422 | |
| (231) 386-0088 | |
| (855) 537-4321 |
| Full Name | Jessica M Paquette |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 718 N Saint Joseph St Unit K1, Suttons Bay, 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 |
|---|---|---|---|
| 1811952781 | NPI | - | NPPES |
| 114789110 | Medicaid | MI | |
| 774789110 | Medicaid | MI | |
| JP015389 | Other | MI | BLUE CROSS BLUE SHIELD BLUE CARE NETWORK LICENSE |
| 080A760010 | Other | MI | BCBS |
| 70-0-A7-6020-0 | Other | MI | BLUE CROSS BLUE SHIELD BLUE CARE NETWORK PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101015389 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leelanau Family Practice Pc | 1254696776 | 3 |
| Great Lakes Therapy Housecalls Pc | 7719876580 | 54 |
| Entity Name | Leelanau Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386132090 PECOS PAC ID: 1254696776 Enrollment ID: O20180601002150 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M Paquette, DO 718 N Saint Joseph St Unit K1, Suttons Bay, MI 49682-8422 Ph: (231) 386-0088 | Jessica M Paquette, DO 718 N Saint Joseph St Unit K1, Suttons Bay, MI 49682-8422 Ph: (231) 386-0088 |
Phillip W Siemer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 93 W Fourth St Ste C, Suttons Bay, MI 49682 Phone: 231-271-5990 Fax: 231-271-5959 | |
Dr. Jimmy Mistry, M. D. Family Medicine Medicare: Medicare Enrolled Practice Location: 93 W Fourth St Ste B, Suttons Bay, MI 49682 Phone: 231-271-2002 |