Board Of Trustees Of Michigan State University is a
Orthopaedic Surgery based in East Lansing, Michigan. Board Of Trustees Of Michigan State University is licensed to practice in * (Not Available) (license number ) and their current practice location is
4660 S Hagadorn Rd, Ste 500, East Lansing, Michigan. It can be reached at their office (for appointments etc.) via phone at
(517) 884-4554.
NPI number for Board Of Trustees Of Michigan State University is 1184707937 and their current mailing address is 804 Service Rd Ste A109b, East Lansing, Michigan. Board Of Trustees Of Michigan State University
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184707937.
Healthcare Provider's Profile
Full Name | Board Of Trustees Of Michigan State University |
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Type | Facility |
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Speciality | Orthopaedic Surgery |
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Location | 4660 S Hagadorn Rd, East Lansing, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184707937
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Board Of Trustees Of Michigan State University such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184707937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 5901002366 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601003216 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Board Of Trustees Of Michigan State University is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Board Of Trustees Of Michigan State University 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Board Of Trustees Of Michigan State University 4660 S Hagadorn Rd, Ste 500, East Lansing, MI 48823-5353 Ph: (517) 884-4554 |
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