| Lawrence Dustin Kimball Iii, DO | |
|
451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242-9812 | |
| (517) 437-0010 | |
| (517) 437-0319 |
| Full Name | Lawrence Dustin Kimball Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 451 Hidden Meadows Dr, Hillsdale, 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 |
|---|---|---|---|
| 1346248937 | NPI | - | NPPES |
| 0153000035 | Other | MI | BCBS |
| 2935031 | Medicaid | MI | |
| 102060 | Other | MI | GLHP |
| 080071137 | Other | MI | MEDICARE-RAILROAD |
| P89542 | Other | MI | BCN |
| 0120040 | Other | MI | PHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010860 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Jackson, MI | Home health agency |
| Hillsdale Community Home | Hillsdale, MI | Home health agency |
| Hospice Of Hillsdale County | Hillsdale, MI | Hospice |
| Hillsdale Hospital | Hillsdale, MI | Hospital |
| Hillsdale Co Medical Care Faci | Hillsdale, MI | Nursing home |
| Hillsdale Hospital Mcguire And Macritchie Ltcu | Hillsdale, MI | Nursing home |
| Entity Name | Ldk Iii Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929089 PECOS PAC ID: 5092935791 Enrollment ID: O20141001000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Dustin Kimball Iii, DO 451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242-9812 Ph: (517) 437-0010 | Lawrence Dustin Kimball Iii, DO 451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242-9812 Ph: (517) 437-0010 |
Karen Lindower, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242 Phone: 517-437-0010 Fax: 517-437-0319 | |
Leslie Bennett-granata, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242 Phone: 517-437-0010 Fax: 517-437-0319 | |
Dr. Seth N J Mallay, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 W Carleton Rd, Hillsdale, MI 49242 Phone: 517-212-8140 Fax: 517-212-8141 | |
Debra A Lusty, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 451 Hidden Meadows Dr, Suite, Hillsdale, MI 49242 Phone: 517-437-0010 Fax: 517-437-0319 | |
Keith R. Baker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1456 Hudson Rd, Hillsdale, MI 49242 Phone: 517-439-0200 Fax: 517-439-1050 | |
Robert Edward Schall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 32 S Broad St, Hillsdale, MI 49242 Phone: 517-437-3361 |