Dr Edwin Robert Itenberg, DO is a medicare enrolled "Colon & Rectal Surgery" physician in Southfield, Michigan. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2006 and has 18 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Henry Ford Medical Group and his current practice location is
16001 W 9 Mile Rd, Fisher Building 3rd Floor, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 849-6030.
Dr Edwin Robert Itenberg is licensed to practice in Michigan (license number 5101019112) 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 1255508487.
Physician's Profile
| Full Name | Dr Edwin Robert Itenberg |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 18 Years |
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| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edwin Robert Itenberg attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006
NPI Data:
- NPI Number: 1255508487
- Provider Enumeration Date: 05/16/2008
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 9739332982
- Enrollment ID: I20130121000170
Medical Identifiers
Medical identifiers for Dr Edwin Robert Itenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255508487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208C00000X | Colon & Rectal Surgery | 5101019112 (Michigan) | Primary |
| 208600000X | Surgery | 5101019112 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Henry Ford Medical Group | 0547178311 | 2095 |
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. Dr Edwin Robert Itenberg allows following entities to bill medicare on his behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139 |
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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. Dr Edwin Robert Itenberg 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 |
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Dr Edwin Robert Itenberg, DO
16001 W 9 Mile Rd, Fisher Building 3rd Floor,
Southfield, MI 48075-4818
Ph: (248) 849-6030 | Dr Edwin Robert Itenberg, DO
16001 W 9 Mile Rd, Fisher Building 3rd Floor,
Southfield, MI 48075-4818
Ph: (248) 849-6030 |
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