Individual provider Active NPI

Donald Paul Cousineau, DO, PC

  • General Practice Physician
  • Gaylord, MI
National Provider Identifier
1841485133
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DC006878 Issued in MI
Practice address
994 N Center Ave
Gaylord, MI 49735-9375
Phone
(989) 732-7843
Fax
(989) 731-4513
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DC006878 MI Primary

Addresses

Primary practice location

994 N Center Ave
Gaylord, MI 49735-9375

Mailing address

994 N Center Street
Gaylord, MI 49735
Phone (989) 732-7843

Other identifiers 1

IdentifierTypeStateIssuer
1089781MedicaidMI

Other names 1

  • Dr. Donald P Cousineau Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001125 MI Practitioner - General Practice 1557357076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

994 N Ctr Ave
Gaylord, MI 49735-9375
Phone (989) 732-7843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.89 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
66.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC006878MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald P. Cousineau DO PC General Practice CurrentSince Jan 1, 1990 Accepting new patients

Locations

994 N Center Ave
Gaylord, MI 49735
Phone (989) 732-3450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1841485133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 N CENTER STREET",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-732-7843",
            "fax_number": "989-731-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-732-7843",
            "fax_number": "989-731-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "DC006878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089781",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "COUSINEAU",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "DO, PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.