Dr Douglas Alan Ehrenberg, DPM is a medicare enrolled "Podiatrist" provider in Corte Madera, California. He went to California School Of Podiatric Medicine and graduated in 1986 and has 40 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Marin Community Clinic and 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Podiatry |
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| Experience | 40 Years |
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| Location | 52 Mohawk Ave, Corte Madera, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Alan Ehrenberg attended and graduated from California School Of Podiatric Medicine in 1986
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 |
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| 213E00000X | Podiatrist | E3463 (California) | Primary |
| 213ES0000X | Podiatrist - Sports Medicine | E3463 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Marin Community Clinic | 0840108031 | 26 |
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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