Gary E Mikesell (NPI# 1205884715, PAC ID# 7911933809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205884715 |
| PAC ID by PECOS | 7911933809 |
| Professional Enrollment ID | I20060620000032 |
| Full Name | Gary E Mikesell |
| Organization Legal Name | MEDPLUS P C |
| Address |
875 Laurence Ave Jackson MI 49202-2966 |
| Phone Number | 5177877587 |
| Gender | M |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264511476 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 724 W Franklin St, Jackson, MI 49201-2008 | 5177843100 | JACKSON FAMILY MEDICAL PLLC |
| 875 Laurence Ave, Jackson, MI 49202-2966 | 5177877587 | MEDPLUS P C |
| Organization Legal Name | MEDPLUS P C |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria E Hallett | General Practice | Medplus P C | 212 S Main St, Medplus After Hours Clinic, Brooklyn, MI 49230-9114 |
| Cornelio Lopez Naguit Jr. | Family Medicine | Medplus P C | 875 Laurence Ave, Jackson, MI 49202-2966 |
| William E Leppert | Family Medicine | Medplus P C | 875 Laurence Ave, Jackson, MI 49202-2966 |
| Street Address |
875 LAURENCE AVE |
| City | JACKSON |
| State | MI |
| Zip | 49202-2966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad E. Kremer | Family Medicine | 875 Laurence Ave, Jackson, MI 49202-2966 | |
| Cornelio Lopez Naguit Jr. | Family Medicine | Medplus P C | 875 Laurence Ave, Jackson, MI 49202-2966 |
| William E Leppert | Family Medicine | Medplus P C | 875 Laurence Ave, Jackson, MI 49202-2966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Somero | Infectious Disease | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Blake Andrew Brannick | Podiatry | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Shoshana Woo Ambani | Plastic and Reconstructive Surgery | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Daniel Piekarek | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 260, Jackson, MI 49202-1432 |
| Mallorie Kettlehut | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Matthew R Jonovich | Interventional Cardiology | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Ashley Elizabeth Poirier | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Elena Gupta | Internal Medicine | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Melissa Cerqueira | Clinical Social Worker | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 200, Jackson, MI 49202-1432 |
| Vincent R Elie | Hospice/palliative Care | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Find all physicians in zip 49202 | |||
| City | JACKSON |
| Zip Code | 49202 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary E Mikesell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.