| Dr Douglas R Vanderjagt, DO | |
|
839 S Putnam St, Williamston, MI 48895-1623 | |
| (517) 655-3515 | |
| (855) 476-0189 |
| Full Name | Dr Douglas R Vanderjagt |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 839 S Putnam St, Williamston, 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 |
|---|---|---|---|
| 1730121880 | NPI | - | NPPES |
| 1000922 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 1000922 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 200000000943 | Other | MI | PHP FAMILYCARE |
| 4218345 | Medicaid | MI | |
| 1153302705 | Other | MI | BCBS/BCN |
| 0M21440018 | Other | MI | MEDICARE ADVANTAGE |
| 1000922 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 110205373 | Other | MI | RAILROAD MEDICARE |
| 200000000943 | Other | MI | PHP |
| 4835895 | Medicaid | MI | |
| 7256209 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101013545 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Jackson, MI | Home health agency |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Internal Medicine Associates P.c. | 8022097963 | 62 |
| Entity Name | Capital Internal Medicine Associates P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780629832 PECOS PAC ID: 8022097963 Enrollment ID: O20040715000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas R Vanderjagt, DO 3955 Patient Care Dr, Lansing, MI 48911-4299 Ph: (517) 374-7600 | Dr Douglas R Vanderjagt, DO 839 S Putnam St, Williamston, MI 48895-1623 Ph: (517) 655-3515 |
Francesca Marie Buskulic, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 839 S Putnam St, Williamston, MI 48895 Phone: 517-655-3515 Fax: 517-655-3743 |