| Ms Jennifer Nicole Malicke, DO | |
|
727 Royal Ave, Royal Oak, MI 48073-5704 | |
| (417) 718-0144 | |
| Not Available |
| Full Name | Ms Jennifer Nicole Malicke |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 727 Royal Ave, Royal Oak, 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 |
|---|---|---|---|
| 1891082905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101019566 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health Reed City Hospital | Reed city, MI | Hospital |
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ecs Western Michigan Pc | 8628327384 | 181 |
| Entity Name | Emergency Department Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Visionary Medical Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
| Entity Name | Observation Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Emergency Professionals Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
| Entity Name | Ecs Western Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Nicole Malicke, DO 727 Royal Ave, Royal Oak, MI 48073-5704 Ph: (417) 718-0144 | Ms Jennifer Nicole Malicke, DO 727 Royal Ave, Royal Oak, MI 48073-5704 Ph: (417) 718-0144 |
Amit Bahl, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, William Beaumont Hospital, Royal Oak, MI 48073 Phone: 248-898-0575 Fax: 248-898-4671 | |
Dr. Kasey Curtis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Kjerstin Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Raymond Jackson, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Ec, Royal Oak, MI 48073 Phone: 248-898-2015 | |
Dr. Amy Smark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Department Of Emergency Medicine, Royal Oak, MI 48073 Phone: 248-898-1968 | |
Dr. Yamen Nackoud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Butternut Ave, Royal Oak, MI 48073 Phone: 818-486-1511 | |
Sariely Sandoval, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |