| Glendon M Gardner, MD | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (248) 661-7211 | |
| (248) 661-6456 |
| Full Name | Glendon M Gardner |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 39 Years |
| Location | 6777 W Maple Rd, West Bloomfield, 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 |
|---|---|---|---|
| 1871669242 | NPI | - | NPPES |
| GG063874 | Other | CHAMPUS-CHAMPUS | |
| 700H262260 | Other | BLUE CROSS-BLUE CROSS | |
| 307008110 | Medicaid | MI | |
| GG063874 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 063874 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Glendon M Gardner, MD 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-7211 | Glendon M Gardner, MD 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-7211 |
Michael S Haupert, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7001 Orchard Lake Rd, Suite 320c, West Bloomfield, MI 48322 Phone: 248-571-3600 Fax: 248-973-8560 | |
Robert John Stachler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 33200 W 14 Mile Rd Ste 240, West Bloomfield, MI 48322 Phone: 248-325-9653 Fax: 248-862-6451 | |
Dr. Louis L Sobol, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6900 Orchard Lake Rd, Ste 314, West Bloomfield, MI 48322 Phone: 248-855-7530 Fax: 248-855-5639 | |
Dr. Steven Joe Kin, D.O. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2130, West Bloomfield, MI 48323 Phone: 248-668-1104 Fax: 248-686-1096 | |
Dr. Peggyann Nowak, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 6900 Orchard Lake Rd, Ste 314, West Bloomfield, MI 48322 Phone: 248-855-7530 Fax: 248-855-5639 | |
Vanessa G. Schweitzer, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 Phone: 248-661-6450 Fax: 248-661-6649 | |
Vigen Darian, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 Phone: 248-661-6450 Fax: 248-661-6649 |