Michael J Jessup (NPI# 1972503035, PAC ID# 4587750799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1972503035 |
| PAC ID by PECOS | 4587750799 |
| Professional Enrollment ID | I20071019000113 |
| Full Name | Michael J Jessup |
| Address |
142 S Winchester Benton MO 63736-9998 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 142 S Winchester, Benton, MO 63736-9998 | ||
| 1207 N Douglass St, Malden, MO 63863-1351 |
| Street Address |
142 S WINCHESTER |
| City | BENTON |
| State | MO |
| Zip | 63736-9998 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Dicus | Nurse Practitioner | Missouri Delta Medical Center | 6468 State Hwy 77, Benton, MO 63736-8237 |
| Amber N Thorne | Nurse Practitioner | Missouri Delta Medical Center | 6468 State Hwy 77, Benton, MO 63736-8237 |
| Amanda Bader | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Delayna Hunter | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Travis James Weiss | Physician Assistant | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Victoria Anne Robbins | Physician Assistant | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Nathan S Sprengel | Family Medicine | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| City | BENTON |
| Zip Code | 63736 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BENTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Michael J Jessup.
| 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.