Dr Frederick Michael Detorres, MD is a medicare enrolled "Allergy & Immunology" physician in Muskegon, Michigan. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
6215 Harvey St, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 799-8777.
Dr Frederick Michael Detorres is licensed to practice in Michigan (license number FD055364) 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 1518023480.
Physician's Profile
| Full Name | Dr Frederick Michael Detorres |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 37 Years |
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| Location | 6215 Harvey St, Muskegon, 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 Frederick Michael Detorres graduated from medical school in 1987
NPI Data:
- NPI Number: 1518023480
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254227127
- Enrollment ID: I20040226000616
Medical Identifiers
Medical identifiers for Dr Frederick Michael Detorres such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518023480 | NPI | - | NPPES |
| 3478831 | Medicaid | MI | |
| FD055634 | Other | MI | STATE LICENSE |
| 0618234 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | FD055364 (Michigan) | Primary |
Medical Facilities Affiliation
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 Frederick Michael Detorres allows following entities to bill medicare on his behalf.
| Entity Name | Shoreline Allergy, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568638732
PECOS PAC ID: 6002987104
Enrollment ID: O20080617000677 |
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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 Frederick Michael Detorres 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 |
|---|
Dr Frederick Michael Detorres, MD
6215 Harvey St,
Muskegon, MI 49444-9739
Ph: (231) 799-8777 | Dr Frederick Michael Detorres, MD
6215 Harvey St,
Muskegon, MI 49444-9739
Ph: (231) 799-8777 |
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