| Dr Michael Benjamin Deboer, MD | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Dr Michael Benjamin Deboer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023509031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 75222 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 68392 (Minnesota) | Primary |
| Entity Name | Lakeview Memorial Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Benjamin Deboer, MD 320 E Main St, Crosby, MN 56441-1645 Ph: (218) 546-7000 | Dr Michael Benjamin Deboer, MD 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Joann Cecilia Keith Litkey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
William Bleifuss, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Dr. Jonathan S. Burns, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Enyioma Chukwuzurum Okechukwu, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Maria Finke, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Daniel Jeffrey Sheets, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 |