Dr Diane B Ebaugh, MD | |
1005 W Green St, Suite 304, Hastings, MI 49058-1712 | |
(269) 948-8057 | |
(269) 948-8964 |
Full Name | Dr Diane B Ebaugh |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 43 Years |
Location | 1005 W Green St, Hastings, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215997796 | NPI | - | NPPES |
1535189 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DE046093 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health Pennock | Hastings, MI | Hospital |
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thornapple Valley Family Physicians Pc | 5698823250 | 3 |
Entity Name | Thornapple Valley Family Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528268513 PECOS PAC ID: 5698823250 Enrollment ID: O20090508000356 |
Mailing Address | Practice Location Address |
---|---|
Dr Diane B Ebaugh, MD 1005 W Green St, Suite 304, Hastings, MI 49058-1712 Ph: (269) 948-8057 | Dr Diane B Ebaugh, MD 1005 W Green St, Suite 304, Hastings, MI 49058-1712 Ph: (269) 948-8057 |
Diana Catherine Diemer, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 W Green St Ste 304, Hastings, MI 49058 Phone: 269-948-8057 Fax: 269-948-8964 | |
Robert Troy Carlson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1375 W Green St, Suite 1, Hastings, MI 49058 Phone: 269-945-7497 | |
Mr. James Edgar Atkinson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2425 Kathryn Drive, Hastings, MI 49058 Phone: 269-948-8219 | |
Dr. Nilesh Maraj Prashad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Carl Jacob Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Dr. James L Weatherhead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Suite G100, Hastings, MI 49058 Phone: 269-948-7820 Fax: 269-948-2458 |