Dr Deon David Middlebrook, MD is a medicare enrolled "Specialist" physician in Detroit, Michigan. He went to Wayne State University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Deon D. Middlebrook M.d., P.c. and his current practice location is
20176 Livernois Ave, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 864-7000.
Dr Deon David Middlebrook is licensed to practice in Michigan (license number DM053010) 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 1508898123.
Physician's Profile
| Full Name | Dr Deon David Middlebrook |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 39 Years |
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| Location | 20176 Livernois Ave, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Deon David Middlebrook attended and graduated from Wayne State University School Of Medicine in 1985
NPI Data:
- NPI Number: 1508898123
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911818109
- Enrollment ID: I20111219000739
Medical Identifiers
Medical identifiers for Dr Deon David Middlebrook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508898123 | NPI | - | NPPES |
| 102889716 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | 4301053010 (Michigan) | Secondary |
| 174400000X | Specialist | DM053010 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Deon D. Middlebrook M.d., P.c. | 0547435695 | 2 |
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. Dr Deon David Middlebrook allows following entities to bill medicare on his behalf.
| Entity Name | Deon D. Middlebrook M.d., P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689885535
PECOS PAC ID: 0547435695
Enrollment ID: O20111219000657 |
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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 Deon David Middlebrook 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 |
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Dr Deon David Middlebrook, MD
20176 Livernois Ave,
Detroit, MI 48221-1346
Ph: (313) 864-7000 | Dr Deon David Middlebrook, MD
20176 Livernois Ave,
Detroit, MI 48221-1346
Ph: (313) 864-7000 |
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