| Racquel Brockington, DO | |
| 1601 E Kalamazoo St, Lansing, MI 48912-2701 | |
| (517) 679-2880 | |
| Not Available | 
| Full Name | Racquel Brockington | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 1601 E Kalamazoo St, Lansing, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205955929 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 5101013595 (Michigan) | Secondary | 
| 207Q00000X | Family Medicine | 5101013595 (Michigan) | Primary | 
| Entity Name | County Of Ingham | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568560308 PECOS PAC ID: 7810899622 Enrollment ID: O20050126000527 | 
| Entity Name | County Of Ingham | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568560308 PECOS PAC ID: 7810899622 Enrollment ID: O20050127000235 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Racquel Brockington, DO Po Box 30161, Lansing, MI 48909-7661 Ph: (517) 887-4383 | Racquel Brockington, DO 1601 E Kalamazoo St, Lansing, MI 48912-2701 Ph: (517) 679-2880 | 
| Daniel Francis Bouchard, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 E Michigan Ave, Osteopathic Internship Sparrow Hospital, Lansing, MI 48912 Phone: 231-955-3360 | |
| Dr. Deja Danielle Rice, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Sparrow Health Systems 1215 E Michigan Avenue, Lansing, MI 48912 Phone: 517-364-5710 | |
| Jana Haidar Ahmad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710 | |
| Shimia Isaac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245, Lansing, MI 48912 Phone: 517-364-5772 | |
| Katrina Anne Weirauch Engle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245-c, Lansing, MI 48912 Phone: 517-364-5772 Fax: 517-364-5764 | |
| David Jonathan Pohl, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912 Phone: 517-913-3820 Fax: 517-913-3821 | |
| Jeffrey Quinn, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710 |