Michael D Depriest (NPI# 1639175029, PAC ID# 4284531583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1639175029 |
| PAC ID by PECOS | 4284531583 |
| Professional Enrollment ID | I20040313000608 |
| Full Name | Michael D Depriest |
| Address |
2111 N Woodbine Rd Saint Joseph MO 64506-2440 |
| Phone Number | 8163646446 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| 260057 | CAMERON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 8163646446 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Street Address |
2111 N WOODBINE RD |
| City | SAINT JOSEPH |
| State | MO |
| Zip | 64506-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Juan C Dominguez | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Jonathan C Amspacher | Plastic and Reconstructive Surgery | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Melissa M Farris | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Davin G Turner | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Cody D Hanson | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Alan W Brewer | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Whitney B Atha | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| James G Day | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Ana M Liolios | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Find all physicians in zip 64506 | |||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SAINT JOSEPH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Michael D Depriest.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.