| Glenn George Betrus, MD | |
|
1037 Water St, Suite 1, Port Huron, MI 48060-4408 | |
| (810) 984-4194 | |
| (810) 984-4674 |
| Full Name | Glenn George Betrus |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 37 Years |
| Location | 1037 Water St, Port Huron, 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 |
|---|---|---|---|
| 1376563130 | NPI | - | NPPES |
| 540G41006 | Other | MI | BLUE CROSS |
| 102916887 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301052886 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Mckenzie Health System | Sandusky, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Medical Group | 3971416082 | 314 |
| 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 | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn George Betrus, MD 1037 Water St, Suite 1, Port Huron, MI 48060-4408 Ph: (810) 984-4194 | Glenn George Betrus, MD 1037 Water St, Suite 1, Port Huron, MI 48060-4408 Ph: (810) 984-4194 |
Mr. Haider Rahbar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674 | |
Shivashankar Damodaran, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2611 Electric Ave Ste E, Port Huron, MI 48060 Phone: 810-216-3599 | |
Marshall Kamer, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674 | |
Jacob Alexander Martin Novack, DO Urology Medicare: Medicare Enrolled Practice Location: 1037 Water St Ste 1, Port Huron, MI 48060 Phone: 248-967-7000 | |
Thomas Allan Coury, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674 |