Stuart R Gildenberg, MD - Medicare Dermatology in Warren, MI

Stuart R Gildenberg, MD is a medicare enrolled "Dermatology" physician in Warren, Michigan. He went to Wayne State University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Midwest Center For Dermatology And Pathology Pllc and his current practice location is 11900 E 12 Mile Rd, Ste 201, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 574-2800.

Stuart R Gildenberg is licensed to practice in Michigan (license number 4301407085) 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 1194720276.

Contact Information

Stuart R Gildenberg, MD
11900 E 12 Mile Rd, Ste 201,
Warren, MI 48093-3490
(586) 574-2800
(586) 574-2803



Physician's Profile

Full NameStuart R Gildenberg
GenderMale
SpecialityDermatology
Experience38 Years
Location11900 E 12 Mile Rd, Warren, 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:
  • Stuart R Gildenberg attended and graduated from Wayne State University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1194720276
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 07/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375519317
  • Enrollment ID: I20040910000496

Medical Identifiers

Medical identifiers for Stuart R Gildenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194720276NPI-NPPES
100784OtherMIMOLINA
1222960001OtherMITOTAL HEALTH CARE
P00180380OtherMITRAVELERS MEDICARE
070E15730OtherMIBCBSM
SG407085OtherMIBLUE CARE NETWORK ADVANTA
1222960001OtherMIMIDWEST HEALTH PLAN
29183OtherMICOMMUNITY CHOICE OF MICHI
4640517MedicaidMI
C3726OtherMCARE
070E015730OtherMIBCN ADVANTAGE
110028OtherMICARER CHOICES
200330360OtherMIHEALTH PLUS OF MICHIGAN
4358234OtherMIAETNA
4358234OtherMIAETNA HMO
0N96970006OtherMIBCBSM MEDICARE PLUS BLUE
100962OtherMIGREAT LAKES HEALTH PLAN
110028OtherMIPREFERRED PLUS
F00397OtherMIHAP HMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4301407085 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Center For Dermatology And Pathology Pllc044633049243

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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. Stuart R Gildenberg allows following entities to bill medicare on his behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355

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Entity NameMidwest Center For Dermatology & Pathology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003095084
PECOS PAC ID: 0446330492
Enrollment ID: O20080103000679

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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. Stuart R Gildenberg 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
Stuart R Gildenberg, MD
11900 E 12 Mile Rd, Ste 201,
Warren, MI 48093-3490

Ph: (586) 574-2800
Stuart R Gildenberg, MD
11900 E 12 Mile Rd, Ste 201,
Warren, MI 48093-3490

Ph: (586) 574-2800

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Dermatology Doctors in Warren, MI

Don U Collier, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 13450 E 12 Mile Rd, Warren, MI 48088
Phone: 586-759-5525    Fax: 586-759-4765
Dr. Anthony Cardellio, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 30950 Campbell St, Warren, MI 48093
Phone: 586-573-3500    Fax: 586-573-8897
Michelle K Bruner, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13450 E 12 Mile Rd, Warren, MI 48088
Phone: 586-759-5525    Fax: 586-619-9028
David A Altman, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093
Phone: 586-574-2800    Fax: 586-574-2803
Dr. Steven Kenneth Grekin, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13450 E 12 Mile Rd, Warren, MI 48088
Phone: 586-759-5525    Fax: 586-759-4765
Wendy W Lambert, D.O.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 13450 E 12 Mile Road, Warren, MI 48088
Phone: 586-759-5525    Fax: 586-759-4765

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