MEDICARE: DR. JONATHAN D ABRAMSON M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	4301060539	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900000628	OTHER	MI	TRAVELERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1004083	OTHER	MI	MCLAREN HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1100961982	OTHER	MI	BLUE CROSS BLUE SHIELD
5	1100961982	OTHER	MI	HEALTH PLUS OF MICHIGAN
6	M032999	OTHER	MI	TRICARE
7	1100961982	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1194715276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN D ABRAMSON M. D.

Provider Business Mailing Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2776
Country	:	US
Telephone Number	:	989-893-3551
Fax Number	:	989-893-1395

Provider Business Practice Location Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706
Country	:	US
Telephone Number	:	989-893-3551
Fax Number	:	989-893-1395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	07/30/2018

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