| Dr John Butler Ditchman, DO | |
|
57662 Grey Fox Gln, Washington, MI 48094-3587 | |
| (586) 786-7319 | |
| Not Available |
| Full Name | Dr John Butler Ditchman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 57662 Grey Fox Gln, Washington, 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 |
|---|---|---|---|
| 1154410165 | NPI | - | NPPES |
| 3391239 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101012503 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Caro Region | Caro, MI | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Mclaren Thumb Region | Bad axe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statera Health Care Llc | 0244565729 | 41 |
| Entity Name | Wabash General Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
| Entity Name | Wabash General Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194728808 PECOS PAC ID: 8022908185 Enrollment ID: O20080507000275 |
| Entity Name | Statera Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Butler Ditchman, DO 57662 Grey Fox Gln, Washington, MI 48094-3587 Ph: (586) 786-7319 | Dr John Butler Ditchman, DO 57662 Grey Fox Gln, Washington, MI 48094-3587 Ph: (586) 786-7319 |