Isaac Deatherage, DO, MPH is a
General Practice physician based in Spring Lake, Michigan. Isaac Deatherage is licensed to practice in Michigan (license number 5101028511) and his current practice location is 18627 144th Ave, Spring Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(918) 814-6422.
NPI number for Isaac Deatherage is 1942998810 and his current mailing address is 18627 144th Ave, Spring Lake, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942998810.
Physician's Profile
Full Name | Isaac Deatherage |
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Gender | Male |
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Speciality | General Practice |
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Location | 18627 144th Ave, Spring Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942998810
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 04/09/2025
Medical Identifiers
Medical identifiers for Isaac Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942998810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 5101028511 (Michigan) | Primary |
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. Isaac Deatherage is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Isaac Deatherage, DO, MPH 18627 144th Ave, Spring Lake, MI 49456-9520 Ph: (918) 814-6422 | Isaac Deatherage, DO, MPH 18627 144th Ave, Spring Lake, MI 49456-9520 Ph: (918) 814-6422 |
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