| Pany Decossard, MD | |
|
3559 Pine Street, Deckerville, MI 48427-0126 | |
| (810) 376-2835 | |
| (810) 376-9713 |
| Full Name | Pany Decossard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 3559 Pine Street, Deckerville, 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 |
|---|---|---|---|
| 1376626127 | NPI | - | NPPES |
| 4694760 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 267123 (New York) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 4301083294 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garnet Health Medical Center Catskills | Harris, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Mercy Hospital Of Buffalo | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Port City Emergency Physicians Llp | 0345301917 | 46 |
| Buffalo Emergency Associates Llp | 4981502515 | 54 |
| Entity Name | Buffalo Emergency Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508816521 PECOS PAC ID: 4981502515 Enrollment ID: O20031222000057 |
| Entity Name | Hospitalist Medicine Physicians of New York PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205944329 PECOS PAC ID: 5597767129 Enrollment ID: O20070209000383 |
| Entity Name | Port City Emergency Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Sullivan Emergency Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528338480 PECOS PAC ID: 7719146927 Enrollment ID: O20120307000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Pany Decossard, MD Po Box 126, Deckerville, MI 48427-0126 Ph: (810) 376-2835 | Pany Decossard, MD 3559 Pine Street, Deckerville, MI 48427-0126 Ph: (810) 376-2835 |