| Marita Jean Michelin, MD | |
|
700 Scott And White Blvd, College Station, TX 77840-5600 | |
| (979) 207-0100 | |
| Not Available |
| Full Name | Marita Jean Michelin |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 700 Scott And White Blvd, College Station, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356373138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 38945 (Connecticut) | Secondary |
| 207P00000X | Emergency Medicine | P7955 (Texas) | Primary |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Marita Jean Michelin, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Marita Jean Michelin, MD 700 Scott And White Blvd, College Station, TX 77840-5600 Ph: (979) 207-0100 |
Dr. Chet Dean Schrader, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Eustace Joseph, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Anthony Joseph Hackett, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Kenneth Wilson Conner Iv, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Ann Marie Reed, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Texas A And M University A P Beutel Health Ctr, Tamu 1264, College Station, TX 77843 Phone: 979-458-8272 Fax: 979-458-8352 | |
Scott Kimball, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 | |
Garry Lynn Gore, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 |