Dr Jeffrey Edwin Middeldorf, DO is a
Physical Medicine & Rehabilitation based in Warren, Michigan. Dr Jeffrey Edwin Middeldorf is licensed to practice in Michigan (license number 5101012371) and his current practice location is
5700 E 11 Mile Road, Suite C, Warren, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 558-4482.
NPI number for Dr Jeffrey Edwin Middeldorf is 1063528958 and his current mailing address is 888 West Big Beaver Road, Suite 480, Troy, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063528958.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Edwin Middeldorf |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 5700 E 11 Mile Road, Warren, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063528958
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 12/10/2013
Medical Identifiers
Medical identifiers for Dr Jeffrey Edwin Middeldorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063528958 | NPI | - | NPPES |
| 3742088 | Medicaid | MI | |
| 2555002114BX33 | Other | | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2301003007 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 5101012371 (Michigan) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2238841 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Edwin Middeldorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeffrey Edwin Middeldorf, DO
888 West Big Beaver Road, Suite 480,
Troy, MI 48084-4764
Ph: (248) 797-8324 | Dr Jeffrey Edwin Middeldorf, DO
5700 E 11 Mile Road, Suite C,
Warren, MI 48089
Ph: (586) 558-4482 |
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