Stuart Etengoff, DO in Grand Blanc, MI - Medicare Emergency Medicine

Stuart Etengoff, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Grand Blanc, Michigan. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1986 and has 38 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mclaren Medical Group and his current practice location is 1 Genesys Pkwy, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 606-6137.

Stuart Etengoff is licensed to practice in Michigan (license number 5101009547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326021213.

Contact Information

	Stuart Etengoff, DO
	1 Genesys Pkwy, Grand Blanc, MI 48439-8065
	(810) 606-6137
	Not Available

Map and Direction

Physician's Profile

Full Name	Stuart Etengoff
Gender	Male
Speciality	Emergency Medicine
Experience	38 Years
Location	1 Genesys Pkwy, Grand Blanc, 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.

Medical Education and Training:

Stuart Etengoff attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1986

NPI Data:

NPI Number: 1326021213
Provider Enumeration Date: 11/23/2005
Last Update Date: 03/06/2008

Medicare PECOS Information:

PECOS PAC ID: 8820076730
Enrollment ID: I20040708000560

Medical Identifiers

Medical identifiers for Stuart Etengoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326021213	NPI	-	NPPES
3483706	Medicaid	MI
3483804	Medicaid	MI
3095035	Medicaid	MI
SE009547	Other		BLUE CROSS BLUE SHIELD
P00113859	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101009547 (Michigan)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	5101009547 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Oakland	Pontiac, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Medical Group	3971416082	195

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stuart Etengoff allows following entities to bill medicare on his behalf.

Entity Name	Mclaren Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025

Entity Name	Degara App Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941

Entity Name	Springfield Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144747460 PECOS PAC ID: 3971869942 Enrollment ID: O20171107002040

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. Stuart Etengoff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stuart Etengoff, DO Dept Ch 17767, Palatine, IL 60055-0001 Ph: (800) 968-6866	Stuart Etengoff, DO 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-6137

Reviews and Comments

Emergency Medicine Doctors in Grand Blanc, MI

Dr. Tara Knisely, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000
Michael Briggs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6137
Alison Marie Ralston, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372
Brian T West, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6137
Dr. Brendan Haigis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372
Roland R Tindle, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Holly Rd, Grand Blanc, MI 48439 Phone: 810-695-8011 Fax: 810-695-8002
Dr. Ryan Patrick Kirby, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000

Stuart Etengoff, DO - Medicare Emergency Medicine in Grand Blanc, MI