| Jordan Bucan, PA | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-2600 | |
| Not Available |
| Full Name | Jordan Bucan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962987362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008853 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811073901 PECOS PAC ID: 0547178311 Enrollment ID: O20031210001052 |
| 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 | 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 | The Traini Counseling Group P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760977094 PECOS PAC ID: 0042550030 Enrollment ID: O20190329001648 |
| Entity Name | Ihp Mi Emergency Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861147456 PECOS PAC ID: 2365821634 Enrollment ID: O20220616000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Bucan, PA 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Jordan Bucan, PA 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 |
Jennifer Gracia Villella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd # K9, Detroit, MI 48202 Phone: 313-916-4920 |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Lara Barnas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Annabel Shammami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Mack Ave, Detroit, MI 48201 Phone: 313-577-1716 |
Andrea Bell Kmiec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Ms. Janet Filek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 248-396-9359 |