| Olen Netteburg, MD | |
|
420 W High St, Dowagiac, MI 49047-1996 | |
| (269) 782-8681 | |
| Not Available |
| Full Name | Olen Netteburg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 420 W High St, Dowagiac, 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 |
|---|---|---|---|
| 1194934547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301511041 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Borgess Lee Hospital | Dowagiac, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epmg Southwest Michigan Pllc | 2769719236 | 43 |
| Vituity-michigan Health Services Pc | 9931635430 | 50 |
| Entity Name | Epmg Southwest Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316405103 PECOS PAC ID: 2769719236 Enrollment ID: O20190806002532 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Entity Name | Vituity-michigan Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750102323 PECOS PAC ID: 9931635430 Enrollment ID: O20241206002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Olen Netteburg, MD 85 Woodland Ter, Hamburg, PA 19526-8748 Ph: (610) 698-3375 | Olen Netteburg, MD 420 W High St, Dowagiac, MI 49047-1996 Ph: (269) 782-8681 |
Dr. Erem E Bobrakov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-783-3082 Fax: 269-783-3044 | |
Dr. David Wayne Young, M.D., M.S. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Borgess-lee Memorial Ed, Dowagiac, MI 49047 Phone: 269-783-3000 Fax: 269-783-3005 | |
Dr. Tadd A Heft, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-783-3082 Fax: 269-783-3044 |