EDDIE PANTZLAFF DDS
NPI 1801248471
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
About Eddie Pantzlaff Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE PANTZLAFF DDS (NPI 1801248471) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (2901022023) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eddie Pantzlaff Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eddie Pantzlaff's NPI number?
The NPI number for Eddie Pantzlaff is 1801248471. It was assigned to this individual provider in the NPPES registry on July 7, 2016.
Where is Eddie Pantzlaff located?
Eddie Pantzlaff practices at 1500 E. Medical Center Drive G1200 Towsley Ctr, Rm 1211, Ann Arbor, MI 48109. The listed phone number is (734) 936-5950.
What is Eddie Pantzlaff's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Eddie Pantzlaff enrolled in Medicare?
Yes. Eddie Pantzlaff is registered in the Medicare PECOS enrollment system.
What insurance does Eddie Pantzlaff accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Ohio and Guardian and 5 other insurers list Eddie Pantzlaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eddie Pantzlaff was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eddie Pantzlaff, DDS · NPI 1801248471
Student in an Organized Health Care Education/Training Program provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since July 7, 2016.
## Identity
- **NPI:** 1801248471 (Entity type: Individual)
- **Enumerated:** July 7, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 2901022023 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E. MEDICAL CENTER DRIVE, G1200 TOWSLEY CTR, RM 1211, Ann Arbor, MI 48109-5222
- **Phone:** (734) 936-5950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1801248471) · Data from the CMS NPPES public registry.