| Jessica Neuroth, | |
|
3040 Bourn St, Lewiston, MI 49756-8134 | |
| (989) 786-4877 | |
| (989) 786-2187 |
| Full Name | Jessica Neuroth |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 3040 Bourn St, Lewiston, 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 |
|---|---|---|---|
| 1487036513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101021563 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Central Michigan | 6103733092 | 172 |
| Northsport Physical Therapy And Rehabilitation P C | 5294902508 | 47 |
| Munson Healthcare Otsego Memorial Hospital | 8325942535 | 119 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477721058 PECOS PAC ID: 7012982937 Enrollment ID: O20040901001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Neuroth, 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-5000 | Jessica Neuroth, 3040 Bourn St, Lewiston, MI 49756-8134 Ph: (989) 786-4877 |
Stephanie Rutterbush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3040 Bourn St, Lewiston, MI 49756 Phone: 989-786-4877 Fax: 989-731-7929 |