Dr Eugene Walter Tryciecky, DO | |
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
(248) 471-8371 | |
Not Available |
Full Name | Dr Eugene Walter Tryciecky |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 28050 Grand River Ave, Farmington Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467522961 | NPI | - | NPPES |
300127739 | Other | MI | RAILROAD MEDICARE |
4371188 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5101007736 (Michigan) | Primary |
Entity Name | Mmg 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
Entity Name | Michigan State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
Mailing Address | Practice Location Address |
---|---|
Dr Eugene Walter Tryciecky, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (248) 471-8371 | Dr Eugene Walter Tryciecky, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (248) 471-8371 |
Mrs. Deeshali Shah, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 559-789-7547 | |
Dr. Joshua Martin Similuk, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8224 | |
Dr. Steven Joel Zuckerman, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8371 | |
Dr. Steven Wallace Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8399 | |
Jason Patrick Sullivan, DO Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Matthew Ryan Tommack, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 208-283-1949 | |
Dr. John Paul Rogers, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |