| Scott E Langenburg, MD | |
|
22151 Moross Rd Ste 209, Detroit, MI 48236 | |
| (313) 343-3978 | |
| Not Available |
| Full Name | Scott E Langenburg |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 22151 Moross Rd Ste 209, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093715450 | NPI | - | NPPES |
| 020H277290 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 7633064 | Other | OH | AETNA |
| 7660 | Other | HEALTH PLAN OF MI | |
| 2486804 | Medicaid | OH | |
| 4072053 | Medicaid | MI | |
| 4672412 | Medicaid | MI | |
| 2486804 | Other | OH | BCMH |
| 4115606 | Medicaid | MI | |
| 146595 | Other | GLHP | |
| 5202232 | Medicaid | MI | |
| 000000521515 | Other | OH | ANTHEM |
| 04561 | Other | OH | PARAMOUNT |
| SL069906 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 4301069906 (Michigan) | Primary |
| 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 |
| Entity Name | Michigan Pediatric Surgery Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396817714 PECOS PAC ID: 1254238165 Enrollment ID: O20031218000155 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott E Langenburg, MD 22151 Moross Rd Ste 209, Detroit, MI 48236-2177 Ph: () - | Scott E Langenburg, MD 22151 Moross Rd Ste 209, Detroit, MI 48236 Ph: (313) 343-3978 |
Kaitlyn Dobesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Bellal Ali Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3056 Fax: 313-916-9920 | |
Charles Edward Lucas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669 | |
Christopher Paul Cassell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Mitchell Ross Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3156 Fax: 313-916-3023 | |
Alexander Marinica, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235 Phone: 313-966-3222 | |
Dr. Rachel Wobig, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5071 Fax: 313-916-9920 |