| William J Deaton, DO | |
|
13872 128th Ave, Grand Haven, MI 49417-9775 | |
| (616) 856-1264 | |
| Not Available |
| Full Name | William J Deaton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 13872 128th Ave, Grand Haven, 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 |
|---|---|---|---|
| 1336181981 | NPI | - | NPPES |
| 4878730 | Medicaid | MI | |
| 4878650 | Medicaid | MI | |
| 4878749 | Medicaid | MI | |
| 0154111485 | Other | MI | BCBS |
| 4878678 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4878758 | Medicaid | MI | |
| 381360529 | Other | MI | TAX ID |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Ottawa Community Health System | Grand haven, MI | Hospital |
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Michigan Observation Services Pllc | 3375938889 | 34 |
| Entity Name | Lake Michigan Emergency Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Lake Michigan Observation Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Deaton, DO 13872 128th Ave, Grand Haven, MI 49417-9775 Ph: (616) 856-1264 | William J Deaton, DO 13872 128th Ave, Grand Haven, MI 49417-9775 Ph: (616) 856-1264 |
Amy Lynn Hoffman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1309 Sheldon Rd, Grand Haven, MI 49417 Phone: 866-898-7139 Fax: 616-975-9824 | |
Dr. Robert Alan Minuth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13324 Redbird Ln, Grand Haven, MI 49417 Phone: 616-844-0249 | |
Frank Young Duncan Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Sheldon Rd, Grand Haven, MI 49417 Phone: 616-842-3600 |