| Dr Michael T Diment, MD | |
|
770 Riverside Ave, Suite 105, Adrian, MI 49221-1476 | |
| (517) 265-5230 | |
| (517) 265-1535 |
| Full Name | Dr Michael T Diment |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 770 Riverside Ave, Adrian, 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 |
|---|---|---|---|
| 1932168291 | NPI | - | NPPES |
| 382372161 | Other | MI | TAX ID # |
| 0466751 | Other | MI | BCBS |
| 418031910 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301060984 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Jackson, MI | Home health agency |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Corporation Of Michigan | 7012902265 | 109 |
| Entity Name | Promedica Central Corporation Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael T Diment, MD 770 Riverside Ave, Suite 105, Adrian, MI 49221-1446 Ph: (517) 265-0600 | Dr Michael T Diment, MD 770 Riverside Ave, Suite 105, Adrian, MI 49221-1476 Ph: (517) 265-5230 |
Dr. Jon Michael Maxwell, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 227 Riverside Ave, Adrian, MI 49221 Phone: 517-263-0575 Fax: 517-265-5188 | |
Dr. Riccardo Giovannone, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 693 Stockford Dr, Adrian, MI 49221 Phone: 517-264-0756 Fax: 517-263-9796 |