Dr Douglas Paul Dietzel, DO | |
4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823-5376 | |
(517) 884-6100 | |
(517) 884-6233 |
Full Name | Dr Douglas Paul Dietzel |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 33 Years |
Location | 4660 S Hagadorn Rd, East Lansing, 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 |
---|---|---|---|
1912934761 | NPI | - | NPPES |
3379305 | Medicaid | MI | |
1912934761 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 5101011314 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Edward W Sparrow Hospital | Lansing, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Edward W Sparrow Hospital Association | 6709799166 | 525 |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Paul Dietzel, DO 804 Service Rd # A201, East Lansing, MI 48824-7015 Ph: (517) 884-2676 | Dr Douglas Paul Dietzel, DO 4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823-5376 Ph: (517) 884-6100 |
Micah Lissy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823 Phone: 517-884-6100 Fax: 517-884-6233 | |
Dr. Michael Bradley Shingles, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823 Phone: 517-884-6100 Fax: 517-884-6233 | |
David K Michael, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823 Phone: 517-333-3777 Fax: 517-203-3948 | |
Sheeba Joseph, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823 Phone: 517-884-6100 Fax: 517-884-6233 | |
David A Shneider, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823 Phone: 517-333-3777 Fax: 517-203-3956 | |
Toufic Jildeh, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823 Phone: 517-353-4100 Fax: 517-884-6233 | |
Dr. Lawrence Walter Mysliwiec, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823 Phone: 517-884-4554 Fax: 517-884-4556 |