| Dr Glenn Ekblad, DO | |
|
1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | |
| (269) 226-6933 | |
| (269) 226-6949 |
| Full Name | Dr Glenn Ekblad |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1535 Gull Rd, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427009646 | NPI | - | NPPES |
| 2703663 | Medicaid | MI | |
| 700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
| EG007963 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2673680-11 | Medicaid | MI | |
| 112703663 | Medicaid | MI | |
| 114694447 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101007963 (Michigan) | Primary |
| 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 | Dickinson County Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Ekblad, DO 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 Ph: (269) 226-6933 | Dr Glenn Ekblad, DO 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 Ph: (269) 226-6933 |
Nicole Catherine Carpp, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Dr. Brannon Charles Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008 Phone: 269-343-3900 Fax: 269-343-5640 | |
Abigail Munro Bond, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Dr. Charles Moore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048 Phone: 269-226-6933 Fax: 269-226-6949 | |
Dr. Jonathan Ross Dadurian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall, Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Jason Andrew Garner, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Nicholas Dyga, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 |