Dr Daniel E Tackabury, MD | |
3789 Huron St, North Branch, MI 48461-8117 | |
(810) 688-3093 | |
(810) 688-3964 |
Full Name | Dr Daniel E Tackabury |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 3789 Huron St, North Branch, 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 |
---|---|---|---|
1104807973 | NPI | - | NPPES |
253174 | Other | MA | MCLAREN HEALTH PLAN |
C7436 | Other | MA | MCARE |
253174 | Other | MA | HEALTH ADVANTAGE NETWORK |
4226712 | Medicaid | MI | |
0988276 | Other | MA | HEALTH PLUS |
6872693001 | Other | MI | CIGNA |
7936230 | Other | MI | AETNA |
H21189 | Other | MI | HEALTH ALLIANCE PLAN |
H21189 | Other | MI | HEALTH NET FEDERAL SERV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301070116 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Home Health | Sterling heights, MI | Home health agency |
Mclaren Lapeer Region | Lapeer, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mclaren Lapeer Region | 8123000544 | 32 |
Entity Name | Mclaren Lapeer Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124151147 PECOS PAC ID: 8123000544 Enrollment ID: O20050730000017 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel E Tackabury, MD 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-1000 | Dr Daniel E Tackabury, MD 3789 Huron St, North Branch, MI 48461-8117 Ph: (810) 688-3093 |
Antonio Dicarlo, Family Medicine Medicare: Medicare Enrolled Practice Location: 4000 Huron St, North Branch, MI 48461 Phone: 810-688-3048 Fax: 877-848-0921 | |
William J Starbird, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Huron St, North Branch, MI 48461 Phone: 810-688-3048 Fax: 810-688-2640 |