Dr Ronald Alan Weisberger, DO | |
1996 Walden Dr, Gaylord, MI 49735-8241 | |
(989) 731-4111 | |
(989) 705-8511 |
Full Name | Dr Ronald Alan Weisberger |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1996 Walden Dr, Gaylord, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518992064 | NPI | - | NPPES |
OF96004 | Other | MEDICARE GROUP NUMBER | |
4540496 | Medicaid | MI | |
CC4805 | Other | MEDICARE RR PROV ID | |
0156910075 | Other | MI | BCBSM PROVIDER NUMBER |
11291805 | Other | CAQH PROVIDER ID | |
381303843 | Other | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5101008157 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 5101008157 (Michigan) | Primary |
Entity Name | Munson Healthcare Otsego Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
Mailing Address | Practice Location Address |
---|---|
Dr Ronald Alan Weisberger, DO 829 N Center Ave, Ste 298, Gaylord, MI 49735-1683 Ph: (989) 731-7708 | Dr Ronald Alan Weisberger, DO 1996 Walden Dr, Gaylord, MI 49735-8241 Ph: (989) 731-4111 |
Dr. Megan Lucille Burroughs, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dr. David Paul Hansmann, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 N. Center St, Gaylord, MI 49735 Phone: 989-731-2141 Fax: 989-731-2150 | |
Michael S. Pirkle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 231-947-0673 Fax: 801-740-2847 | |
Martin T Lougen Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2201 Fax: 989-731-2205 | |
Jon S Foltz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2140 Fax: 989-731-2205 | |
Joy Williams, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2100 Fax: 801-740-2847 | |
Peter R Handley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2140 Fax: 989-731-2205 |