| Joanne Ruth Kingsley, MD | |
|
1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 | |
| (517) 782-7510 | |
| (517) 782-7520 |
| Full Name | Joanne Ruth Kingsley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 1931 Horton Rd, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497833446 | NPI | - | NPPES |
| 0720045 | Other | MI | PHP PROVIDER NUMBER |
| 104778547 | Medicaid | MI | |
| 300326016 | Other | MI | TAX ID # |
| 1603811241 | Other | MI | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | JK045630 (Michigan) | Primary |
| Entity Name | Center For Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780784439 PECOS PAC ID: 4587574421 Enrollment ID: O20040219000916 |
| Entity Name | Bell Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Ruth Kingsley, MD 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 Ph: (517) 782-7510 | Joanne Ruth Kingsley, MD 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 Ph: (517) 782-7510 |
Raul Rene Andino, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 Fax: 517-780-9286 | |
Dr. James Reginald Williams, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2200 Springport Rd, Jackson, MI 49202 Phone: 517-784-9356 Fax: 517-780-9286 | |
Joy Luck, NP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2009 W Michigan Ave, Jackson, MI 49202 Phone: 517-784-1700 Fax: 517-784-2441 | |
Dr. Michael S Mcdonnell, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 W Washington Ave, Jackson, MI 49201 Phone: 517-787-0334 Fax: 517-787-2114 | |
Carissa J May, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3305 Spring Arbor Rd Ste 200, Jackson, MI 49203 Phone: 517-205-1285 Fax: 517-205-0115 | |
Rajan A Pastoriza, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1100 E Michigan Ave, Ste 205, Jackson, MI 49201 Phone: 517-787-6838 Fax: 577-787-5623 |