| Kaitlin V Deters, DO | |
|
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
| (423) 506-6234 | |
| Not Available |
| Full Name | Kaitlin V Deters |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 2333 Biddle Ave, Wyandotte, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568887495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101021015 (Michigan) | Secondary |
| 208600000X | Surgery | 0102205602 (Virginia) | Secondary |
| 208600000X | Surgery | 5151010296 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 298 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin V Deters, DO 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: () - | Kaitlin V Deters, DO 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (423) 506-6234 |
Anthony Campbell, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Dr. Christine Marie Joliat, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 | |
Dr. Brooke M Buckley, MD Surgery Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Fadi Baidoun, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Suite C, Wyandotte, MI 48192 Phone: 734-324-3330 Fax: 734-324-3303 | |
Jack Avedikian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 | |
Ahmad Abukhader, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 | |
Dr. Marcus Tyler Brown, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 |