Dr Douglas Gregory Tacket, DO in Saint Joseph, MI

Dr Douglas Gregory Tacket, DO is a medicare enrolled "Family Medicine" physician in Saint Joseph, Michigan. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Medical Practices, Beacon Medical Group Inc and his current practice location is 4077 S Cleveland Ave, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 429-2992.

Dr Douglas Gregory Tacket is licensed to practice in Michigan (license number 5101012140) 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 1790764868.

Contact Information

	Dr Douglas Gregory Tacket, DO
	4077 S Cleveland Ave, Saint Joseph, MI 49085-9513
	(269) 429-2992
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Douglas Gregory Tacket
Gender	Male
Speciality	Family Practice
Experience	34 Years
Location	4077 S Cleveland Ave, Saint Joseph, 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.

Medical Education and Training:

Dr Douglas Gregory Tacket graduated from medical school in 1990

NPI Data:

NPI Number: 1790764868
Provider Enumeration Date: 01/17/2006
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1658279625
Enrollment ID: I20040105000462

Medical Identifiers

Medical identifiers for Dr Douglas Gregory Tacket such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790764868	NPI	-	NPPES
114560327	Medicaid	MI
0851101104	Other		BCBS
236040362	Other	IN	MEDICARE PTAN
300049695	Medicaid	IN
236040362	Other		MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	02001246A (Indiana)	Secondary
207Q00000X	Family Medicine	5101012140 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Hospital, St Joseph	St joseph, MI	Hospital
Goshen Hospital	Goshen, IN	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Medical Practices	1658427042	260
Beacon Medical Group Inc	1254243306	444

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. Dr Douglas Gregory Tacket allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Dr Douglas Gregory Tacket 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 Address	Practice Location Address
Dr Douglas Gregory Tacket, DO 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 Ph: () -	Dr Douglas Gregory Tacket, DO 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 Ph: (269) 429-2992

Reviews and Comments

Family Medicine Doctors in Saint Joseph, MI

Dr. Matthew J Campbell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Momany Dr, Saint Joseph, MI 49085 Phone: 269-928-1947 Fax: 269-982-1950
Dr. Kaitlyn Hope Chung, DNP, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300
Sydney Alexander, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-982-4941
Dr. Gary Witucki, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601
Dr. Paige Moreno, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-982-4941
Dr. Frederick William Born, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4077 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-429-2992 Fax: 269-429-3372
Allison Demarris Meadows, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085 Phone: 269-429-5000

Dr Douglas Gregory Tacket, DO - Medicare Family Practice in Saint Joseph, MI