Dr John Douglas Ebersole, MD in Royal Oak, MI - Medicare Interventional Radiology

Dr John Douglas Ebersole, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Royal Oak, Michigan. He went to Wayne State University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Beaumont Medical Group Hospital Based Services and his current practice location is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 898-6064.

Dr John Douglas Ebersole is licensed to practice in Michigan (license number 4301074124) 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 1023185287.

Contact Information

	Dr John Douglas Ebersole, MD
	3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
	(248) 898-6064
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Douglas Ebersole
Gender	Male
Speciality	Interventional Radiology
Experience	25 Years
Location	3601 W 13 Mile Rd, Royal Oak, 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.

Medical Education and Training:

Dr John Douglas Ebersole attended and graduated from Wayne State University School Of Medicine in 1999

NPI Data:

NPI Number: 1023185287
Provider Enumeration Date: 11/30/2006
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1355374554
Enrollment ID: I20050917000342

Medical Identifiers

Medical identifiers for Dr John Douglas Ebersole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023185287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301074124 (Michigan)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	4301074124 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital, Troy	Troy, MI	Hospital
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group Hospital Based Services	3072875889	457

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 John Douglas Ebersole allows following entities to bill medicare on his behalf.

Entity Name	Troy Internal Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356450589 PECOS PAC ID: 0840282067 Enrollment ID: O20040330001398

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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 John Douglas Ebersole 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 John Douglas Ebersole, MD 26901 Beaumont Blvd, Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865	Dr John Douglas Ebersole, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-6064

Reviews and Comments

Radiology Doctors in Royal Oak, MI

Terrence Metz, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Christopher W Keyes, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7266
Stephen Hudak, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6262
Elias Antypas, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509
Dr. Derek Alexander Mumaw, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6347
Kent Donovan, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509

Dr John Douglas Ebersole, MD - Medicare Interventional Radiology in Royal Oak, MI