Glenn William Pottmeyer, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Royal Oak, Michigan. His current practice location is
3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 551-6489.
Glenn William Pottmeyer is licensed to practice in Michigan (license number 5101026112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417452475.
Physician's Profile
Full Name | Glenn William Pottmeyer |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417452475
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 06/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890042147
- Enrollment ID: I20180718002509
Medical Identifiers
Medical identifiers for Glenn William Pottmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417452475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 5101026112 (Michigan) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 5101026112 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5101026112 (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. Glenn William Pottmeyer 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 |
Glenn William Pottmeyer, DO 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 551-6489 | Glenn William Pottmeyer, DO 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 551-6489 |
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