| Lansing Osteopathic Medical Group Pc | |
|
4655 Dobie Rd Suite 260 Okemos MI 48864-2233 | |
| (517) 482-1183 | |
| (517) 482-9877 |
| Full Name | Lansing Osteopathic Medical Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4655 Dobie Rd, Okemos, Michigan |
| Authorized Official Name and Position | Jerry J Chandler (PHYSICIAN) |
| Authorized Official Contact | 5174821183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansing Osteopathic Medical Group Pc 4655 Dobie Rd Suite 260 Okemos MI 48864-2233 Ph: (517) 482-1183 | Lansing Osteopathic Medical Group Pc 4655 Dobie Rd Suite 260 Okemos MI 48864-2233 Ph: (517) 482-1183 |
| NPI Number | 1750530721 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 09/15/2008 |
| Medicare PECOS PAC ID | 5597832170 |
|---|---|
| Medicare Enrollment ID | O20080923000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750530721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101006090 (Michigan) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 5101006090 (Michigan) | Primary |
| Provider Name | Jerry J Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376629287 PECOS PAC ID: 5597668483 Enrollment ID: I20040128001121 |
Vlsr Madireddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4129 Okemos Rd, Ste 6, Okemos, MI 48864 Phone: 517-803-4544 Fax: 517-803-4509 | |
John D Wenzel Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1667 Hamilton Rd, Okemos, MI 48864 Phone: 517-349-9550 Fax: 517-349-7650 | |
Okemos Primary Care Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-708-7283 Fax: 517-708-7294 | |
Meridian Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507 | |
Orlando Matias Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-220-4507 Fax: 517-575-6869 | |
David Neff, Do, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3493 Woods Edge, Okemos, MI 48864 Phone: 517-290-1079 Fax: 517-481-3765 | |
Edward W. Sparrow Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2446 Jolly Rd Ste B, Okemos, MI 48864 Phone: 517-253-5530 Fax: 517-253-5535 |