Jeffrey David Strickler, M.D.
Individual provider Active NPI Family Medicine Physician · Roscommon, MI
NPI 1124003736 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1124003736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301068191 (MI)
- Practice address
- 308 Lake St Ste B
Roscommon, MI 48653-8928 - Phone
- (989) 783-6300
- Fax
- (989) 783-6301
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068191 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Medicine PC | Current |
Accepting new patients |
Locations
308 Lake St
Ste B
Roscommon, MI 48653
Phone (989) 302-2360
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGGFCD
- https://fhir4.healow.com/fhir/r4/GGGFCD/Endpoint/GGGFCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301068191 | MI | Yes |
Addresses
Primary practice location
308 Lake St Ste B
Roscommon, MI 48653-8928
Mailing address
308 Lake St Ste B
Roscommon, MI 48653-8928
Phone (989) 783-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124003736 | Medicaid | MI |
Other providers in Roscommon, MI
- Ilene Sue Smith
- Kadie Smith
- Special Beginnings LLC
- Elissa Marie Stewart
- Casey Marie Stone
- Louiko Willa Sunday
- Jamie N Taylor
- Jerry Robert Tejcek
- Tender Kare Connections LLC
- Timothy J Thornton
All providers in Roscommon, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.