Mr Justin Di Donato, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. His current practice location is
1000 Oakland Drive, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 337-4400.
Mr Justin Di Donato is licensed to practice in Michigan (license number 4301110632) 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 1548612815.
Physician's Profile
Full Name | Mr Justin Di Donato |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Oakland Drive, Kalamazoo, 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: 1548612815
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 11/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830478981
- Enrollment ID: I20161114002111
Medical Identifiers
Medical identifiers for Mr Justin Di Donato such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548612815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301110632 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4301110632 (Michigan) | Primary |
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. Mr Justin Di Donato 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 |
Mr Justin Di Donato, MD 1000 Oakland Drive, Kalamazoo, MI 49008-8024 Ph: (269) 337-4400 | Mr Justin Di Donato, MD 1000 Oakland Drive, Kalamazoo, MI 49008-8024 Ph: (269) 337-4400 |
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