Dr Douglas Alan Ehrenberg, DPM is a medicare enrolled "Podiatrist" provider in Corte Madera, California. His current practice location is
52 Mohawk Ave, Corte Madera, California. You can reach out to his office (for appointments etc.) via phone at
(415) 385-7587.
Dr Douglas Alan Ehrenberg is licensed to practice in California (license number E3463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376597443.
Healthcare Provider's Profile
| Full Name | Dr Douglas Alan Ehrenberg |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 52 Mohawk Ave, Corte Madera, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376597443
- Provider Enumeration Date: 05/21/2006
- Last Update Date: 11/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 8729017991
- Enrollment ID: I20050808000858
Medical Identifiers
Medical identifiers for Dr Douglas Alan Ehrenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376597443 | NPI | - | NPPES |
| E3463 | Other | CA | STATE LIC. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | E3463 (California) | Primary |
| 213ES0000X | Podiatrist - Sports Medicine | E3463 (California) | Secondary |
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. Dr Douglas Alan Ehrenberg 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 Address | Practice Location Address |
Dr Douglas Alan Ehrenberg, DPM 52 Mohawk Ave, Corte Madera, CA 94925-1033 Ph: (415) 385-7587 | Dr Douglas Alan Ehrenberg, DPM 52 Mohawk Ave, Corte Madera, CA 94925-1033 Ph: (415) 385-7587 |
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