Alta J Deroo, MD in Kalamazoo, MI - Medicare Obstetrics/gynecology

Alta J Deroo, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Kalamazoo, Michigan. She went to University Of Florida College Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice North Memorial Health Care and her current practice location is 1521 Gull Rd, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 226-5927.

Alta J Deroo is licensed to practice in Minnesota (license number 71806) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184791725.

Contact Information

	Alta J Deroo, MD
	1521 Gull Rd, Kalamazoo, MI 49048-1640
	(269) 226-5927
	Not Available

Map and Direction

Physician's Profile

Full Name	Alta J Deroo
Gender	Female
Speciality	Obstetrics/gynecology
Experience	22 Years
Location	1521 Gull Rd, Kalamazoo, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alta J Deroo attended and graduated from University Of Florida College Of Medicine in 2003

NPI Data:

NPI Number: 1184791725
Provider Enumeration Date: 11/29/2006
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7618150152
Enrollment ID: I20220916000032

Medical Identifiers

Medical identifiers for Alta J Deroo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184791725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	71806 (Minnesota)	Secondary
207V00000X	Obstetrics & Gynecology	168454 (California)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	168454 (California)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	71806 (Minnesota)	Primary
207V00000X	Obstetrics & Gynecology	4301116178 (Michigan)	Secondary
207V00000X	Obstetrics & Gynecology	0101237764 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maple Grove Hospital	Maple grove, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Memorial Health Care	0042123028	469

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alta J Deroo allows following entities to bill medicare on her behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alta J Deroo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alta J Deroo, MD 6 Evergreen Rd, North Oaks, MN 55127-2004 Ph: (757) 343-1218	Alta J Deroo, MD 1521 Gull Rd, Kalamazoo, MI 49048-1640 Ph: (269) 226-5927

Reviews and Comments

Preventive Medicine Doctors in Kalamazoo, MI

Michael A Shelden, DO Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1903 W Michigan Ave, Kalamazoo, MI 49008 Phone: 269-387-3290 Fax: 269-387-2944
Dr. Neal Warren Gogan, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Portage Rd, Port 41-004, Kalamazoo, MI 49001 Phone: 269-833-8691 Fax: 269-833-3431
Evan Peter Kokales, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1004 Essex Cir, Kalamazoo, MI 49008 Phone: 269-344-9892
Dr. Daniel L Bouwman, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008 Phone: 269-343-3900 Fax: 269-343-5640
William J Mayer, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 John St, Kalamazoo, MI 49007 Phone: 269-377-1563

Alta J Deroo, MD - Medicare Obstetrics/gynecology in Kalamazoo, MI