Ms Clark Edwin Conant Iii, DO | |
300 W Washington Ave, Suite 250, Jackson, MI 49201-2180 | |
(517) 782-8223 | |
(517) 782-6670 |
Full Name | Ms Clark Edwin Conant Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 300 W Washington Ave, 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 |
---|---|---|---|
1588626246 | NPI | - | NPPES |
3064119 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 51006900 (Michigan) | Primary |
Entity Name | Matt T Rosenberg Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063692556 PECOS PAC ID: 6507837986 Enrollment ID: O20040802000589 |
Mailing Address | Practice Location Address |
---|---|
Ms Clark Edwin Conant Iii, DO 300 W Washington Ave, Suite 250, Jackson, MI 49201-2180 Ph: (517) 782-8223 | Ms Clark Edwin Conant Iii, DO 300 W Washington Ave, Suite 250, Jackson, MI 49201-2180 Ph: (517) 782-8223 |
Dr. Ali David Chahine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-3998 | |
Rubana Khan, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 810-931-5407 | |
Erin Nicole Murfey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hinckley Blvd, Ste 100, Jackson, MI 49203 Phone: 517-784-0141 Fax: 517-787-3462 | |
Maria Soto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 W North St, Jackson, MI 49202 Phone: 517-782-2555 Fax: 517-782-3399 | |
Mohamed El Fakiy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 816-394-6643 | |
Dr. Robert N Israel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Seymour Ave, Jackson, MI 49202 Phone: 517-782-5700 Fax: 517-782-3141 | |
Ray H King, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Hinckley Blvd, Suite 100, Jackson, MI 49203 Phone: 517-784-0588 Fax: 517-784-3866 |