Jillian N Petkus (NPI# 1174879951, PAC ID# 0648411751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174879951 |
| PAC ID by PECOS | 0648411751 |
| Professional Enrollment ID | I20130731000761 |
| Full Name | Jillian N Petkus |
| Organization Legal Name | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Address |
245 W Centre Ave Portage MI 49024-5331 |
| Phone Number | 2693232450 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123270840 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 8102087470 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| 72 S Washington St, Oxford, MI 48371-6421 | 2488532009 | OXFORD URGENT CARE P L C |
| 72 S Washington St, Suite 102, Oxford, MI 48371-6421 | 2488532009 | OXFORD URGENT CARE P L C |
| 245 W Centre Ave, Portage, MI 49024-5331 | 2693232450 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Organization Legal Name | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney M Kernstock | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Alejandra Ruser | Physician Assistant | Hometown Urgent Care of Michigan PC | 1634 Gull Rd, Kalamazoo, MI 49048-1632 |
| Bonnie M Wallace | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Jennifer Hogan | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Antwain D Allen | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Amber N Heath | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Yasas Rodrigo | Family Medicine | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Olivia Glidden | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Joseph Zaki | Family Medicine | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Jameka K Mcelroy | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Street Address |
245 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip | 49024-5331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devika Malhotra | Pediatric Medicine | Hometown Urgent Care of Michigan PC | 245 W Centre Ave, Portage, MI 49024-5331 |
| Raymond G Ingraham | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 245 W Centre Ave, Portage, MI 49024-5331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jillian N Petkus.
| 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.