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
- 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
- Code Navigator
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 |
---|---|---|---|
680G345240 | OTHER (01) | MI | BCBSM |
WM008040 | MEDICARE UPIN (02) | MI | |
0N39620 | MEDICARE 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
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
Exam of neurobehavioral status, first hour
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 patientsThis 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 patientsThis 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 patientsAn 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 patientsThis 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 patientsThis 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 patientsAn 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 patientsReviews for DR. WILLIAM DAVID MACINNES PH.D.
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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. | |||||||||
1 | 2 | 9 | 5 | 7 | 3 | 7 | 2 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 18 | 5 | 14 | 3 | 14 | 2 | 4 | |
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 = 9 | 9 |
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 |
---|---|---|---|
1841252855 | SAGINAW VALLEY DERMATOLOGY PC Organization | Dermatology | 4705 TOWNE CENTRE RD SUITE 301 SAGINAW, MI 48604 (989) 793-6505 |
1831152446 | DR. DAVID BRIAN O'DONNELL M.D. Individual | Dermatology | 4705 TOWNE CENTRE RD SUITE 301 SAGINAW, MI 48604 (989) 793-6505 |
1740330414 | NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C. Organization | Internal Medicine | 4705 TOWNE CENTRE RD STE 102 SAGINAW, MI 48604 (989) 790-2958 |
1760515803 | DR. SANJEEV PRAKASH M.D Individual | Internal Medicine (Rheumatology) | 4705 TOWNE CENTRE RD STE 303 SAGINAW, MI 48604 (989) 797-6700 |
1619953197 | DR. BONG JUNG MD Individual | Psychiatry & Neurology (Neurology) | 4705 TOWNE CENTRE RD SUITE 102 SAGINAW, MI 48604 (989) 791-4718 |
1265613830 | RAMA CHERUKURI MULPURI MD Organization | Internal Medicine | 4705 TOWNE CENTRE RD SUITE 203 SAGINAW, MI 48604 (989) 799-6130 |
1417380007 | SHANNON FROESE PH.D. Individual | Psychologist | 4705 TOWNE CENTRE RD MEDICAL ARTS I, SUITE 304 SAGINAW, MI 48604 (989) 921-5100 |
1841409596 | DR. PRATHIMA PEACHERA D.P.T Individual | Physical Therapist | 4705 TOWNE CENTRE RD STE 101 SAGINAW, MI 48604 (989) 401-5890 |
1053682633 | SRIKANTH PEACHERA Individual | Physical Therapist | 4705 TOWNE CENTRE RD STE 101 SAGINAW, MI 48604 (989) 401-5890 |
1902283955 | ZUBEDA S KHAN MD PLLC Organization | Family Medicine | 4705 TOWNE CENTRE RD SUITE 204 SAGINAW, MI 48604 (989) 780-2455 |
1295123586 | SAGINAW HORIZON PHYSICAL THERAPY AND REHABILITATION, PLLC Organization | Clinic/Center (Rehabilitation) | 4705 TOWNE CENTRE RD SUITE 101 SAGINAW, MI 48604 (989) 401-5890 |
1649608993 | RAMA C MULPURI MD PLLC Organization | Internal Medicine | 4705 TOWNE CENTRE RD 203 SAGINAW, MI 48604 (989) 799-6130 |
1134100175 | DR. 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 Medicine | 4705 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.