| Ryan Stephen Fajardo, MD | |
|
804 Service Rd Ste D100, East Lansing, MI 48824-7015 | |
| (517) 353-5053 | |
| (517) 432-4394 |
| Full Name | Ryan Stephen Fajardo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 804 Service Rd Ste D100, East Lansing, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932286945 | NPI | - | NPPES |
| 1932286945 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301095664 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Sparrow Carson Hospital | Carson city, MI | Hospital |
| Sparrow Ionia Hospital | Ionia, MI | Hospital |
| Sparrow Clinton Hospital | Saint johns, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
| Entity Name | Lansing Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425658 PECOS PAC ID: 4486552148 Enrollment ID: O20031219000576 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629517420 PECOS PAC ID: 6709799166 Enrollment ID: O20170222001286 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Stephen Fajardo, MD 804 Service Rd, Ste D100, East Lansing, MI 48824-7015 Ph: (517) 353-5053 | Ryan Stephen Fajardo, MD 804 Service Rd Ste D100, East Lansing, MI 48824-7015 Ph: (517) 353-5053 |
Thomas Loi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 138 Service Rd Ste A204, East Lansing, MI 48824 Phone: 517-353-4920 Fax: 517-432-2243 | |
Robert Jarrett Steffy, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 846 Service Rd, East Lansing, MI 48824 Phone: 517-355-0120 | |
Dr. Nicholas Starkey, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Dr. Julia Hobson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823 Phone: 517-884-6123 Fax: 517-884-6236 | |
Susan Phelps, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste D100, East Lansing, MI 48824 Phone: 517-353-4941 Fax: 517-432-3145 | |
Suresh K Mukherji, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Justin Wagner, Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Room D100, East Lansing, MI 48824 Phone: 517-355-5053 |