Michael Devisser, MD | |
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
(815) 766-7334 | |
(815) 766-9768 |
Full Name | Michael Devisser |
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Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 1 Kish Hospital Dr, Dekalb, Illinois |
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 |
---|---|---|---|
1215317599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01081653A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 036149046 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Straub Clinic And Hospital | Honolulu, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Straub Clinic And Hospital | 6305759754 | 411 |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Entity Name | Straub Clinic & Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
Mailing Address | Practice Location Address |
---|---|
Michael Devisser, MD 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 | Michael Devisser, MD 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 |
Nina L Taylor, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 W Lincoln Hwy, Northern Illinois University / Health Services, Dekalb, IL 60115 Phone: 815-753-1311 | |
Jeanne M Johnston, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-756-1521 | |
Dr. David Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 | |
Dr. Talha Ahmed, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
Michael S Hohlastos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978 | |
Michael Hagstrom, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |