| Lori Jean Dotson, MD | |
|
965 S Bailey Ave, South Haven, MI 49090-6743 | |
| (269) 639-2833 | |
| (269) 639-2776 |
| Full Name | Lori Jean Dotson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 965 S Bailey Ave, South Haven, 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 |
|---|---|---|---|
| 1639198179 | NPI | - | NPPES |
| 1417961137 | Other | MI | BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER |
| 4100004 T10 | Medicaid | MI | |
| 4574494 | Medicaid | MI | |
| 1639198179 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301074647 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospice At Home, Inc. | 9537178116 | 11 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Hospice At Home, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186311 PECOS PAC ID: 9537178116 Enrollment ID: O20061025000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Jean Dotson, MD 965 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2833 | Lori Jean Dotson, MD 965 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2833 |
Mark Wells Kemp, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave Ste 200, South Haven, MI 49090 Phone: 269-639-2777 | |
Bradley D Bastow, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Blue Star Hwy, Suite 1-2, South Haven, MI 49090 Phone: 269-637-1388 Fax: 269-637-1459 | |
Sue Killion Cammarata, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Clinton St, South Haven, MI 49090 Phone: 269-637-2001 | |
Dr. Ramon E Urrea, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 965 S Bailey Ave, Suite 1-4, South Haven, MI 49090 Phone: 269-639-2777 Fax: 269-639-2776 |