Dr Michael Allen Gendreau, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brooklyn, New York. His current practice location is
121 Dekalb Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 250-8000.
Dr Michael Allen Gendreau is licensed to practice in * (Not Available) (license number ) 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 1366022956.
Physician's Profile
Full Name | Dr Michael Allen Gendreau |
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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 | 121 Dekalb Ave, Brooklyn, New York |
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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: 1366022956
- Provider Enumeration Date: 04/09/2021
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416398789
- Enrollment ID: I20240517000788
Medical Identifiers
Medical identifiers for Dr Michael Allen Gendreau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366022956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 327770 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Michael Allen Gendreau 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 |
Dr Michael Allen Gendreau, DO 121 Dekalb Ave, Brooklyn, NY 11201-5425 Ph: () - | Dr Michael Allen Gendreau, DO 121 Dekalb Ave, Brooklyn, NY 11201-5425 Ph: (718) 250-8000 |
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