Ryan Glen Goleniak, - Medicare Internal Medicine in Detroit, MI

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Ryan Glen Goleniak, is a medicare enrolled "Internal Medicine" physician in Detroit, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Upper Great Lakes Family Health Center and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-1601.

Ryan Glen Goleniak is licensed to practice in Michigan (license number 5101028998) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912587981.

Contact Information

Ryan Glen Goleniak,
2799 W Grand Blvd,
Detroit, MI 48202-2689
(313) 916-1601
(313) 916-2018

Map and Direction




Physician's Profile

Full NameRyan Glen Goleniak
GenderMale
SpecialityInternal Medicine
Experience5 Years
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Glen Goleniak attended and graduated from Michigan State University College Of Osteopathic Medicine in 2021
  NPI Data:
  • NPI Number: 1912587981
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 02/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3072918051
  • Enrollment ID: I20260401001017

Medical Identifiers

Medical identifiers for Ryan Glen Goleniak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912587981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5101028998 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Up Health System - MarquetteMarquette, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upper Great Lakes Family Health Center195143238441

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Glen Goleniak allows following entities to bill medicare on his behalf.
Entity NameUpper Great Lakes Family Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700103777
PECOS PAC ID: 1951432384
Enrollment ID: O20100629000853

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Glen Goleniak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Glen Goleniak,
6900 Woonsocket St,
Canton, MI 48187-2722

Ph: (734) 731-7305		Ryan Glen Goleniak,
2799 W Grand Blvd,
Detroit, MI 48202-2689

Ph: (313) 916-1601

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.