| Jacob R Deboni, FNP | |
|
1293 E Parkdale Ave, Manistee, MI 49660-8904 | |
| (231) 398-1840 | |
| (231) 398-1835 |
| Full Name | Jacob R Deboni |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1293 E Parkdale Ave, Manistee, 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 |
|---|---|---|---|
| 1578036091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704285441 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Family Care Pc | 3274516877 | 3 |
| Entity Name | Munson Healthcare Manistee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649457771 PECOS PAC ID: 3072414333 Enrollment ID: O20040119000647 |
| Entity Name | Lakeshore Family Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356472872 PECOS PAC ID: 3274516877 Enrollment ID: O20040612000159 |
| Entity Name | Munson Healthcare Cadillac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob R Deboni, FNP 1345 E. Parkdale, Manistee, MI 49660 Ph: (231) 398-1735 | Jacob R Deboni, FNP 1293 E Parkdale Ave, Manistee, MI 49660-8904 Ph: (231) 398-1840 |
Tracy Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1550 Fax: 231-398-1691 | |
Jesse Leah Keson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000 | |
Megan Michelle Vansickle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Government Center Dr, Manistee, MI 49660 Phone: 231-723-8299 | |
Stacey Bonecutter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 E Parkdale Ave, Ste 3, Manistee, MI 49660 Phone: 231-398-9536 Fax: 231-398-9541 | |
Keri Ann Foster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-723-3567 | |
James Barczewski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-655-3672 Fax: 231-723-1735 | |
Elizabeth Foster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1780 |