900 DIX ST STE 300
OTSEGO, MI 49078-1544 US PECOS Enrolled
Susan Emily Jevert-Eichorn
Family Medicine Physician
- OTSEGO, MI
- Phone: (269)-276-4347
- Last Updated 12/19/2023
Overview
Susan Emily Jevert-Eichorn is a Family Medicine Physician in the OTSEGO area. Susan Emily Jevert-Eichorn primary office location is at 900 DIX ST STE 300 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1053756510 and the information was updated approximately 3 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 5101020470 | MI |
| Type/Issuer | Identifier | State |
|---|---|---|
| BCBS | 5390367 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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