Dr Douglas R Vanderjagt, DO is a medicare enrolled "Internal Medicine" physician in Williamston, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Capital Internal Medicine Associates P.c. and his current practice location is
839 S Putnam St, Williamston, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 655-3515.
Dr Douglas R Vanderjagt is licensed to practice in Michigan (license number 5101013545) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730121880.
Physician's Profile
| Full Name | Dr Douglas R Vanderjagt |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 29 Years |
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| Location | 839 S Putnam St, Williamston, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas R Vanderjagt attended and graduated from Michigan State University College Of Osteopathic Medicine in 1997
NPI Data:
- NPI Number: 1730121880
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 03/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810809555
- Enrollment ID: I20040406001309
Medical Identifiers
Medical identifiers for Dr Douglas R Vanderjagt such as npi, medicare ID, medicare PIN, medicaid, etc.
| 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 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5101013545 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Capital Internal Medicine Associates P.c. | 8022097963 | 62 |
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. Dr Douglas R Vanderjagt allows following entities to bill medicare on his behalf.
| Entity Name | Capital Internal Medicine Associates P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780629832
PECOS PAC ID: 8022097963
Enrollment ID: O20040715000369 |
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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. Dr Douglas R Vanderjagt 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 |
|---|
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 |
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