DR. WILLIAM DAVID MACINNES PH.D.
NPI 1295737229
Clinical Neuropsychologist in Saginaw, MI

NPI Status: Active since August 10, 2005

Contact Information

4705 TOWNE CENTRE RD
STE 304
SAGINAW, MI
ZIP 48604
Phone: (989) 921-5100
Fax: (989) 921-5104

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  • Individual
  • Male
  • Years of Experience 44
  • Clinical Neuropsychologist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • Opted-Out Medicare

About WILLIAM MACINNES

This page provides the complete NPI Profile along with additional information for William Macinnes, a provider established in Saginaw, Michigan with a medical specialization in Clinical Neuropsychologist and more than 44 years of experience. He graduated from University Of Nebraska College Of Medicine in 1982. The healthcare provider is registered in the NPI registry with number 1295737229 assigned on August 2005. The practitioner's primary taxonomy code is 103G00000X with license number 6301008040 (MI). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1295737229
Provider Name
DR. WILLIAM DAVID MACINNES PH.D.
Gender
Male
Entity Type
Individual
Location Address
4705 TOWNE CENTRE RD STE 304 SAGINAW, MI 48604
Location Phone
(989) 921-5100
Location Fax
(989) 921-5104
Mailing Address
4705 TOWNE CENTRE RD STE 304 SAGINAW, MI 48604
Mailing Phone
(989) 921-5100
Mailing Fax
(989) 921-5104
Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year
1982
Is Sole Proprietor?
Yes
Enumeration Date
08-10-2005
Last Update Date
11-22-2017
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. William Macinnes opted out of Medicare effective on 07-01-2025 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
6301008040
License State
MI
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Healthy Heart Gold Adult Vision & Fitness - HMO
  • Healthy Heart Silver - HMO
  • Healthy Heart Silver Adult Vision & Fitness - HMO
  • Low Premium Silver - HMO
  • Low Premium Silver Adult Vision & Fitness - HMO
  • Silver - HMO
  • Silver Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
680G345240OTHER (01)MIBCBSM
WM008040MEDICARE UPIN (02)MI 
0N39620MEDICARE ID-TYPE UNSPECIFIED (04)MI 

Medicare Participation & PECOS Enrollment Status

William Macinnes is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2025

  • Opt-Out End Date: 07-01-2027

  • Eligible to Order and Refer? No

  • PECOS PAC ID: 5193621332

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20031209000909

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

This service was performed 220 times for 60 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

This service was performed 77 times for 61 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 25 times for 25 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 64 times for 64 patients

Evaluation of psychological test, each additional hour

This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.

This service was performed 46 times for 45 patients

Evaluation of psychological test, first hour

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

This service was performed 67 times for 67 patients

Exam of neurobehavioral status, first hour

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

This service was performed 64 times for 64 patients

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295737229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851431424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 3 + 1 + 4 + 2 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1295737229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841252855SAGINAW VALLEY DERMATOLOGY PC
Organization
Dermatology4705 TOWNE CENTRE RD SUITE 301
SAGINAW, MI 48604
(989) 793-6505
1831152446DR. DAVID BRIAN O'DONNELL M.D.
Individual
Dermatology4705 TOWNE CENTRE RD SUITE 301
SAGINAW, MI 48604
(989) 793-6505
1740330414NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.
Organization
Internal Medicine4705 TOWNE CENTRE RD STE 102
SAGINAW, MI 48604
(989) 790-2958
1760515803DR. SANJEEV PRAKASH M.D
Individual
Internal Medicine (Rheumatology)4705 TOWNE CENTRE RD STE 303
SAGINAW, MI 48604
(989) 797-6700
1619953197DR. BONG JUNG MD
Individual
Psychiatry & Neurology (Neurology)4705 TOWNE CENTRE RD SUITE 102
SAGINAW, MI 48604
(989) 791-4718
1265613830RAMA CHERUKURI MULPURI MD
Organization
Internal Medicine4705 TOWNE CENTRE RD SUITE 203
SAGINAW, MI 48604
(989) 799-6130
1417380007 SHANNON FROESE PH.D.
Individual
Psychologist4705 TOWNE CENTRE RD MEDICAL ARTS I, SUITE 304
SAGINAW, MI 48604
(989) 921-5100
1841409596DR. PRATHIMA PEACHERA D.P.T
Individual
Physical Therapist4705 TOWNE CENTRE RD STE 101
SAGINAW, MI 48604
(989) 401-5890
1053682633 SRIKANTH PEACHERA
Individual
Physical Therapist4705 TOWNE CENTRE RD STE 101
SAGINAW, MI 48604
(989) 401-5890
1902283955ZUBEDA S KHAN MD PLLC
Organization
Family Medicine4705 TOWNE CENTRE RD SUITE 204
SAGINAW, MI 48604
(989) 780-2455
1295123586SAGINAW HORIZON PHYSICAL THERAPY AND REHABILITATION, PLLC
Organization
Clinic/Center (Rehabilitation)4705 TOWNE CENTRE RD SUITE 101
SAGINAW, MI 48604
(989) 401-5890
1649608993RAMA C MULPURI MD PLLC
Organization
Internal Medicine4705 TOWNE CENTRE RD 203
SAGINAW, MI 48604
(989) 799-6130
1134100175DR. IFTIKHAR A KHAN M.D.
Individual
Psychiatry & Neurology (Neurology)4705 TOWNE CENTRE RD SUITE 302
SAGINAW, MI 48604
(989) 799-2640
1366439697 RAMA C MULPURI M.D.
Individual
Internal Medicine4705 TOWNE CENTRE RD SUITE 203
SAGINAW, MI 48604
(989) 799-6130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295737229, enumerated in the NPI registry as an "individual" on August 10, 2005

The provider is located at 4705 Towne Centre Rd Ste 304 Saginaw, Mi 48604 and the phone number is (989) 921-5100

The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X

The provider has more than 44 years of experience. He graduated from University Of Nebraska College Of Medicine in 1982.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Administration of psychological or neuropsychological test by technician, each additional 30 minutes, Administration of psychological or neuropsychological test by technician, first 30 minutes, Evaluation of neuropsychological test, each additional hour, Evaluation of neuropsychological test, first hour, Evaluation of psychological test, each additional hour, Evaluation of psychological test, first hour and Exam of neurobehavioral status, first hour.

No, the provider signed an affidavit on July 01, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2027.

This NPI record was last updated on August 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.