Glen Enzenberger, DO | |
700 German St, Tawas City, MI 48763-9349 | |
(989) 362-4170 | |
(989) 362-0034 |
Full Name | Glen Enzenberger |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 700 German St, Tawas City, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639167471 | NPI | - | NPPES |
2862721 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101010568 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tawas St Joseph Hospital | Tawas city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St Joseph Hospital | 9638070766 | 27 |
Entity Name | Ascension St Joseph Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194713461 PECOS PAC ID: 9638070766 Enrollment ID: O20040202000682 |
Mailing Address | Practice Location Address |
---|---|
Glen Enzenberger, DO 700 German St, Tawas City, MI 48763-9349 Ph: (989) 362-4170 | Glen Enzenberger, DO 700 German St, Tawas City, MI 48763-9349 Ph: (989) 362-4170 |
Dr. Devendra K Sharma, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 541 Lake Street, Tawas City, MI 48763 Phone: 989-362-3447 | |
Dr. Bradley Arthur Kloska, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 German St, Tawas City, MI 48763 Phone: 989-362-4170 Fax: 989-362-0034 | |
Michael Wagner, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 German St, Tawas City, MI 48763 Phone: 989-362-4170 Fax: 989-362-0034 |