| Dexter Fossitt Iv, MD | |
|
451 Health Pkwy Ste F, Paw Paw, MI 49079-8242 | |
| (269) 655-3080 | |
| Not Available |
| Full Name | Dexter Fossitt Iv |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 451 Health Pkwy Ste F, Paw Paw, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639461932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301104615 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson At Home | Battle creek, MI | Home health agency |
| Elara Caring | Edwardsburg, MI | Home health agency |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Bronson Lakeview Hospital | 9032008495 | 52 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Bronson Lakeview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Fossitt Iv, MD 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: () - | Dexter Fossitt Iv, MD 451 Health Pkwy Ste F, Paw Paw, MI 49079-8242 Ph: (269) 655-3080 |
Hugh M Sanchez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 404 Hazen St, Paw Paw, MI 49079 Phone: 269-657-2550 Fax: 269-657-2285 | |
Anthony W Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-655-3080 Fax: 269-655-0761 | |
Naji M Khairallah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy, Suite F, Paw Paw, MI 49079 Phone: 269-655-3080 Fax: 269-655-0761 | |
David B Peirce, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Suite F, Paw Paw, MI 49079 Phone: 269-655-3080 Fax: 269-655-0761 |