Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patrick Raycraft Fann, MD

Individual provider Emergency Medicine Physician · NPI 1518594100

Patrick Raycraft Fann, MD is an Emergency Medicine in Jackson, Michigan. Qualified in 2020, 6 years ago. Practices with Team Physicians of Northern California Medical Group Inc, a 87-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (323) 202-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301507532 (MI)

Record details

NPI number1518594100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 16, 2024
Certification dateJune 16, 2024
Mailing address1655 Belmar Rd Apt 2, Cleveland Heights, OH 44118-1462

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Team Physicians Of Northern California Medical Group Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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