Pearce J Dupuis (NPI# 1770856932, PAC ID# 2466763875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1770856932 |
PAC ID by PECOS | 2466763875 |
Professional Enrollment ID | I20150625001118 |
Full Name | Pearce J Dupuis |
Organization Legal Name | BRONSON LAKEVIEW HOSPITAL |
Address |
319 W Delaware St Decatur MI 49045-1106 |
Phone Number | 2693418536 |
Gender | M |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9032008495 |
Number of Group Practice Members | 31 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
231332 | BRONSON LAKEVIEW HOSPITAL |
230017 | BRONSON METHODIST HOSPITAL |
230085 | BRONSON SOUTH HAVEN HOSPITAL |
Address | Phone | Organization |
---|---|---|
319 W Delaware St, Decatur, MI 49045-1106 | 2693418536 | BRONSON LAKEVIEW HOSPITAL |
451 Health Pkwy, Paw Paw, MI 49079-8242 | BRONSON LAKEVIEW HOSPITAL | |
451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 | 2696553090 | BRONSON LAKEVIEW HOSPITAL |
Organization Legal Name | BRONSON LAKEVIEW HOSPITAL |
Physicians | 27 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Knutson | Physician Assistant | Bronson Lakeview Hospital | 319 W Delaware St, Decatur, MI 49045-1106 |
Daniel R Teske | Physician Assistant | Bronson Lakeview Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 |
Gerald M Bush | Physician Assistant | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
James Francis Carow | Family Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Laura C Ford | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Hariton H Kousourou | Internal Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Lisa R Woodruff | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Nadeem M Mirza | Psychiatry | Bronson Lakeview Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 |
Marisa Leighton | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Jenna T Ruple | Family Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
Street Address |
319 W DELAWARE ST |
City | DECATUR |
State | MI |
Zip | 49045-1106 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Knutson | Physician Assistant | Bronson Lakeview Hospital | 319 W Delaware St, Decatur, MI 49045-1106 |
Connie L Harris | Nurse Practitioner | Bronson Lakeview Hospital | 319 W Delaware St, Decatur, MI 49045-1106 |
City | DECATUR |
Zip Code | 49045 |
Specialty | FAMILY MEDICINE |
City + Specialty | DECATUR + FAMILY MEDICINE |
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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.