Isaac Deatherage, DO, MPH is a medicare enrolled "General Practice" physician in Spring Lake, Michigan. He went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Ballout International Llc and his current practice location is
18627 144th Ave, Spring Lake, Michigan. You can reach out to his office (for appointments etc.) via phone at
(918) 814-6422.
Isaac Deatherage is licensed to practice in Michigan (license number 5101028511) 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 1942998810.
Physician's Profile
| Full Name | Isaac Deatherage |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Experience | 4 Years |
|---|
| Location | 18627 144th Ave, Spring Lake, 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:
- Isaac Deatherage attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2022
NPI Data:
- NPI Number: 1942998810
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921501586
- Enrollment ID: I20250911000150
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ballout International Llc | 5890045256 | 47 |
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
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 |
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 |
Reviews and Comments