| Emil Ethan Ebner, DO | |
|
1234 Napier Ave, Saint Joseph, MI 49085 | |
| (269) 983-8300 | |
| (269) 985-4523 |
| Full Name | Emil Ethan Ebner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 1234 Napier Ave, Saint Joseph, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740541176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101020015 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 5101020015 (Michigan) | Secondary |
| 208000000X | Pediatrics | 5101020015 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Emil Ethan Ebner, DO 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 982-4862 | Emil Ethan Ebner, DO 1234 Napier Ave, Saint Joseph, MI 49085 Ph: (269) 983-8300 |
Cory Minier Schmidt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 Fax: 269-985-4523 | |
Dr. Karen J Dyer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Mukund Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Hollywood Rd, Suite 102, Saint Joseph, MI 49085 Phone: 269-428-2727 Fax: 269-428-0377 | |
Desire M Andersen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8500 Fax: 269-985-4535 | |
Michael Raymond Warmoth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Jason Vanderlugt, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Dr. Sheila Frances Waslawski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 |