Rolando M Beredo (NPI# 1093704322, PAC ID# 5890987911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093704322 |
| PAC ID by PECOS | 5890987911 |
| Professional Enrollment ID | I20101007001143 |
| Full Name | Rolando M Beredo |
| Organization Legal Name | R M BEREDO MD PLLC |
| Address |
426 N Jackson St Jackson MI 49201-1235 |
| Phone Number | 5177886336 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628260742 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 426 N Jackson St, Jackson, MI 49201-1235 | 5177886336 | R M BEREDO MD PLLC |
| Organization Legal Name | R M BEREDO MD PLLC |
| Physicians | 1 |
| Street Address |
426 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip | 49201-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Putney | Clinical Social Worker | 569 Wildwood Ave, Unit 4, Jackson, MI 49201-1048 | |
| Dorothy E Tetreault | Clinical Social Worker | 569 Wildwood Ave Unit, Suite 4, Jackson, MI 49201-1048 | |
| Cheryl A Colletti | Family Medicine | 517 Wildwood Ave, Jackson, MI 49201-1094 | |
| Beth E Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| Michael P Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| David R Krajewski | Clinical Social Worker | Crossroads Psychotherapy PC | 432 Wildwood Ave, Jackson, MI 49201-1148 |
| Monica J Hill | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Eliezer A Gomez | Family Medicine | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Nora Elizabeth Flood | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Tywanda R Crawford Johnson | Family Medicine | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Find all physicians in zip 49201 | |||
| City | JACKSON |
| Zip Code | 49201 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Rolando M Beredo.
| 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.