David P Tracy, MD | |
1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | |
(810) 985-0029 | |
(810) 985-0032 |
Full Name | David P Tracy |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 1530 Pine Grove Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033121892 | NPI | - | NPPES |
4094810 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 066578 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Garden City Hospital | Garden city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Won Chae Md Pc | 0345221883 | 4 |
Entity Name | Won Chae Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700828969 PECOS PAC ID: 0345221883 Enrollment ID: O20040528001013 |
Entity Name | X-ray Associates Of Port Huron Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801967583 PECOS PAC ID: 5395789531 Enrollment ID: O20050617000539 |
Entity Name | Mawan Shuayto Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578819850 PECOS PAC ID: 3072764596 Enrollment ID: O20121109000580 |
Mailing Address | Practice Location Address |
---|---|
David P Tracy, MD 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Ph: (810) 985-0029 | David P Tracy, MD 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Ph: (810) 985-0029 |
Clare A Scheurer Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Sameh A S A Saif, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-989-3172 | |
Kaneez Batool Shaikh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Kanu B Dalal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-0032 | |
Rajeev Srinivasa Aravapalli, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Herminio C Calderon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 |