Dr Jason Porter Hogaboam, DO - Medicare Family Practice in Grosse Pointe Woods, MI

Dr Jason Porter Hogaboam, DO is a medicare enrolled "Family Medicine" physician in Grosse Pointe Woods, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 20599 Mack Ave, Grosse Pointe Medpost Urgent Care, Grosse Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 279-5400.

Dr Jason Porter Hogaboam is licensed to practice in Michigan (license number 5101019788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770847139.

Contact Information

Dr Jason Porter Hogaboam, DO
20599 Mack Ave, Grosse Pointe Medpost Urgent Care,
Grosse Pointe Woods, MI 48236-1656
(517) 279-5400
Not Available



Physician's Profile

Full NameDr Jason Porter Hogaboam
GenderMale
SpecialityFamily Practice
Experience12 Years
Location20599 Mack Ave, Grosse Pointe Woods, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jason Porter Hogaboam graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1770847139
  • Provider Enumeration Date: 07/01/2012
  • Last Update Date: 01/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244525814
  • Enrollment ID: I20181004001595

Medical Identifiers

Medical identifiers for Dr Jason Porter Hogaboam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770847139NPI-NPPES
A26570059OtherMIMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101019788 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jason Porter Hogaboam allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Dr Jason Porter Hogaboam 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 AddressPractice Location Address
Dr Jason Porter Hogaboam, DO
761 Sandalwood Dr,
Troy, MI 48085-1643

Ph: (509) 264-1814
Dr Jason Porter Hogaboam, DO
20599 Mack Ave, Grosse Pointe Medpost Urgent Care,
Grosse Pointe Woods, MI 48236-1656

Ph: (517) 279-5400

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Family Medicine Doctors in Grosse Pointe Woods, MI

Dr. Marivic D Massand, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 971 Canterbury Rd, Grosse Pointe Woods, MI 48236
Phone: 313-885-4489    
Chester Joseph Skrocki, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 605 Woods Lane, Grosse Pointe Woods, MI 48236
Phone: 313-881-9398    Fax: 313-886-1491
Jayant Eldurkar, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19251 Mack Ave Ste 100, Grosse Pointe Woods, MI 48236
Phone: 313-343-7852    
Dr. Sue Ting, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236
Phone: 248-376-3769    

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