Mr Randy John Plonka, MD is a
Internal Medicine physician based in Ft Gratiot, Michigan. Mr Randy John Plonka is licensed to practice in Michigan (license number 050787) and his current practice location is 5979 Lakeshore, Ft Gratiot, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 385-6370.
NPI number for Mr Randy John Plonka is 1013097278 and his current mailing address is 5979 Lakeshore, Ft Gratiot, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013097278.
Physician's Profile
| Full Name | Mr Randy John Plonka |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 5979 Lakeshore, Ft Gratiot, 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: 1013097278
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 03/19/2008
Medical Identifiers
Medical identifiers for Mr Randy John Plonka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013097278 | NPI | - | NPPES |
| 4369770 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 050787 (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. Mr Randy John Plonka 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 |
|---|
Mr Randy John Plonka, MD
5979 Lakeshore,
Ft Gratiot, MI 48059
Ph: (810) 385-6370 | Mr Randy John Plonka, MD
5979 Lakeshore,
Ft Gratiot, MI 48059
Ph: (810) 385-6370 |
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