Dr Jonathan William Decker, DO is a medicare enrolled "Internal Medicine" physician in Cedar Springs, Michigan. His current practice location is
290 Ronald St, Cedar Springs, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 281-3107.
Dr Jonathan William Decker is licensed to practice in Michigan (license number 5101019647) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619275781.
Physician's Profile
Full Name | Dr Jonathan William Decker |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 290 Ronald St, Cedar Springs, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619275781
- Provider Enumeration Date: 03/14/2011
- Last Update Date: 12/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 1557686334
- Enrollment ID: I20150219001610
Medical Identifiers
Medical identifiers for Dr Jonathan William Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619275781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5101019647 (Michigan) | Primary |
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 Jonathan William Decker allows following entities to bill medicare on his behalf.
Entity Name | Covenant Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972590412 PECOS PAC ID: 2769387778 Enrollment ID: O20031209000107 |
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Entity Name | Life's Work Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275189490 PECOS PAC ID: 4981015716 Enrollment ID: O20201130000216 |
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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 Jonathan William Decker 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 Jonathan William Decker, DO 290 Ronald St, Cedar Springs, MI 49319-9508 Ph: (517) 281-3107 | Dr Jonathan William Decker, DO 290 Ronald St, Cedar Springs, MI 49319-9508 Ph: (517) 281-3107 |
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