Mr Donald Graham Prouty, MD in Ithaca, MI

Mr Donald Graham Prouty, MD is a medicare enrolled "Family Medicine" physician in Ithaca, Michigan. He went to Loma Linda University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mymichigan Medical Center Alma and his current practice location is 820 N Pine River St, Ithaca, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 875-3722.

Mr Donald Graham Prouty is licensed to practice in Michigan (license number 4301041429) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194765198.

Contact Information

	Mr Donald Graham Prouty, MD
	820 N Pine River St, Ithaca, MI 48847
	(989) 875-3722
	(989) 875-3732

Map and Direction

Physician's Profile

Full Name	Mr Donald Graham Prouty
Gender	Male
Speciality	Family Practice
Experience	48 Years
Location	820 N Pine River St, Ithaca, 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.

Medical Education and Training:

Mr Donald Graham Prouty attended and graduated from Loma Linda University School Of Medicine in 1976

NPI Data:

NPI Number: 1194765198
Provider Enumeration Date: 06/07/2006
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8022905678
Enrollment ID: I20040301000161

Medical Identifiers

Medical identifiers for Mr Donald Graham Prouty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194765198	NPI	-	NPPES
1009879	Other	MI	MCLAREN HEALTH PLAN
0802900501	Other	MI	BCBSM
200000005847	Other	MI	PHP COMMERCIAL
0983153	Other	MI	HEALTHPLUS COMMERCIAL
4563131-10	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301041429 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heartland Home Health Care And Hospice	Bay city, MI	Hospice
Midmichigan Medical Center-gratiot	Alma, MI	Hospital
Midmichigan Medical Center-clare	Clare, MI	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Donald Graham Prouty allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Alma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265596126 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975

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. Mr Donald Graham Prouty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Donald Graham Prouty, MD 820 N Pine River St, Ithaca, MI 48847 Ph: (989) 875-3722	Mr Donald Graham Prouty, MD 820 N Pine River St, Ithaca, MI 48847 Ph: (989) 875-3722

Reviews and Comments

Family Medicine Doctors in Ithaca, MI

Dr. Hallie J Wilson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600
Dr. Hillary Agnes Shemes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-5168
Dr. David J Freestone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600
Dr. Michael Andrew Stack, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 N Pine River St, Ithaca, MI 48847 Phone: 989-875-5111 Fax: 989-875-5023
Dr. Russell J Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600

Mr Donald Graham Prouty, MD - Medicare Family Practice in Ithaca, MI