Ernest Krug, is a
Pediatrics - Developmental - Behavioral Pediatrics physician based in Berkley, Michigan. Ernest Krug is licensed to practice in Michigan (license number 4301060939) and his current practice location is 1695 W 12 Mile Rd, Ste. 120, Berkley, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 691-4744.
NPI number for Ernest Krug is 1366402075 and his current mailing address is 3601 W 13 Mile Rd, 400-fsc/pcs, Royal Oak, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366402075.
Physician's Profile
| Full Name | Ernest Krug |
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| Gender | Male |
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| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
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| Location | 1695 W 12 Mile Rd, Berkley, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366402075
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ernest Krug such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366402075 | NPI | - | NPPES |
| 2929992 | Medicaid | MI | |
| 3506314650 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 4301060939 (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. Ernest Krug 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 |
|---|
Ernest Krug,
3601 W 13 Mile Rd, 400-fsc/pcs,
Royal Oak, MI 48073-6712
Ph: () - | Ernest Krug,
1695 W 12 Mile Rd, Ste. 120,
Berkley, MI 48072-2182
Ph: (248) 691-4744 |
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