Provider Demographics
NPI:1568491132
Name:SCHREINER, REBECCA LUCILE (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LUCILE
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MICHIGAN AVE W STE 103
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3632
Mailing Address - Country:US
Mailing Address - Phone:269-441-9302
Mailing Address - Fax:
Practice Address - Street 1:200 MICHIGAN AVE W STE 103
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3632
Practice Address - Country:US
Practice Address - Phone:269-441-9302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078204207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1103911982OtherBCBS IND PIN
156939OtherGREAT LAKES HLTH PLN
MI1417961137OtherBCBS (BRONSON)
MI1417961137OtherBCBS
110C913020OtherBCBS GRP PIN
MI488185110Medicaid
7437747OtherAETNA PIN
MI1568491132Medicaid
MI488185110Medicaid
MIP00365835Medicare PIN
MI0C97625092Medicare ID - Type Unspecified
156939OtherGREAT LAKES HLTH PLN
MI488185110Medicaid
MICA3050Medicare PIN