| Roderick Jay Baltzer, DO | |
|
802 S Main St, Ste 3, Cheboygan, MI 49721 | |
| (231) 627-3002 | |
| (231) 627-3002 |
| Full Name | Roderick Jay Baltzer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 802 S Main St, Cheboygan, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760564041 | NPI | - | NPPES |
| 1424279 | Medicaid | MI | |
| 0805163314 | Other | MI | BCBSM |
| 4745626 | Medicaid | MI | |
| 6048333 | Medicaid | MI | |
| 010A660000 | Other | BLUE CROSS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101006586 (Michigan) | Primary |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124283502 PECOS PAC ID: 1456420876 Enrollment ID: O20080527000172 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick Jay Baltzer, DO 420 S Nicolet St, Mackinaw City, MI 49701-9657 Ph: (231) 436-9900 | Roderick Jay Baltzer, DO 802 S Main St, Ste 3, Cheboygan, MI 49721 Ph: (231) 627-3002 |
Dr. Paula K Dekeyser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Main St, Cheboygan, MI 49721 Phone: 231-627-7118 Fax: 231-627-1838 | |
Dr. Mark E Drogowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Main St, Cheboygan, MI 49721 Phone: 231-627-1828 Fax: 231-363-1822 | |
Dr. William C Borgerding, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 740 S Main St, Cheboygan, MI 49721 Phone: 231-627-1471 Fax: 231-627-1364 | |
Dr. David Benjamin Michael Kazanowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Main St Fl 2, Cheboygan, MI 49721 Phone: 231-627-7118 Fax: 231-363-1822 | |
Loretta M Leja, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 920 S Huron St, Cheboygan, MI 49721 Phone: 231-597-8192 | |
Dr. Catherine S Zimmerman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Main St Fl 2, Cheboygan, MI 49721 Phone: 231-627-7118 Fax: 231-627-1838 |