Dr Michael Phillip Deperro Iii, MD | |
1830 Bethel Rd Ste 200, Columbus, OH 43220-1809 | |
(614) 940-6607 | |
(614) 429-4948 |
Full Name | Dr Michael Phillip Deperro Iii |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 16 Years |
Location | 1830 Bethel Rd Ste 200, Columbus, Ohio |
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 |
---|---|---|---|
1255588810 | NPI | - | NPPES |
811530392 | Other | OH | TAX-ID |
1134573496 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 112600 (Ohio) | Secondary |
208200000X | Plastic Surgery | 122373 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Entity Name | Deperro Plastic Surgery, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134573496 PECOS PAC ID: 4284927542 Enrollment ID: O20160725000453 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Phillip Deperro Iii, MD 1830 Bethel Rd Ste 200, Columbus, OH 43220-1809 Ph: (614) 940-6607 | Dr Michael Phillip Deperro Iii, MD 1830 Bethel Rd Ste 200, Columbus, OH 43220-1809 Ph: (614) 940-6607 |
Wen Xu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 915 Olentangy River Rd Ste 2140, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Dr. Aditya Sood, M.D., M.B.A. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd Ste 2140, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
David Alan Femovich, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4100 Regent St # 4-h, Columbus, OH 43219 Phone: 380-267-3602 | |
Kim A. Bjorklund, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 555 S 18th St, Columbus, OH 43205 Phone: 614-722-6200 | |
Patrick W Harbour, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd Ste 2140, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Dr. Kerry-ann Stewart Mitchell, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Anne Huang, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8566 |