Dr Gary C Lulenski, MD is a
Otolaryngology - Otolaryngic Allergy physician based in St Joseph, Michigan. Dr Gary C Lulenski is licensed to practice in Michigan (license number 430103863) and his current practice location is 2500 Niles Road #5, St Joseph, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 428-3442.
NPI number for Dr Gary C Lulenski is 1962552950 and his current mailing address is 2500 Niles Road #5, St Joseph, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962552950.
Physician's Profile
Full Name | Dr Gary C Lulenski |
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Gender | Male |
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Speciality | Otolaryngology - Otolaryngic Allergy |
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Location | 2500 Niles Road #5, St Joseph, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962552950
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 07/12/2010
Medical Identifiers
Medical identifiers for Dr Gary C Lulenski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962552950 | NPI | - | NPPES |
101861013 | Medicaid | MI | |
0401135182 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 430103863 (Michigan) | Secondary |
207YX0602X | Otolaryngology - Otolaryngic Allergy | 430103863 (Michigan) | Primary |
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 Gary C Lulenski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gary C Lulenski, MD 2500 Niles Road #5, St Joseph, MI 49085 Ph: (269) 428-3442 | Dr Gary C Lulenski, MD 2500 Niles Road #5, St Joseph, MI 49085 Ph: (269) 428-3442 |
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