Dr Petra C Vonkulajta, MD | |
929 Business Park Dr, Traverse City, MI 49686-8683 | |
(231) 947-6246 | |
(231) 947-8864 |
Full Name | Dr Petra C Vonkulajta |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 29 Years |
Location | 929 Business Park Dr, Traverse City, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811981152 | NPI | - | NPPES |
4214560 | Medicaid | MI | |
4618285 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 4301065498 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
Munson Medical Center | Traverse city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Traverse Ophthalmology Clinic Pc | 4981503521 | 14 |
Entity Name | Grand Traverse Ophthalmology Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265426514 PECOS PAC ID: 4981503521 Enrollment ID: O20040724000399 |
Mailing Address | Practice Location Address |
---|---|
Dr Petra C Vonkulajta, MD 929 Business Park Dr, Traverse City, MI 49686-8683 Ph: (231) 947-6246 | Dr Petra C Vonkulajta, MD 929 Business Park Dr, Traverse City, MI 49686-8683 Ph: (231) 947-6246 |
Dr. Matthew P Madion, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 929 Business Park Dr, Traverse City, MI 49686 Phone: 231-947-6246 Fax: 231-947-8864 | |
Dr. Timothy B. Hanley, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3830 W Front St, Traverse City, MI 49684 Phone: 231-929-3888 Fax: 231-929-4365 | |
Dr. Douglas J Covert, MD, MPH Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 860 E Front St, Traverse City, MI 49686 Phone: 231-938-0710 Fax: 231-938-0264 | |
Dr. Alicia Morgan Eby, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5199 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-8101 Fax: 231-346-5926 | |
Diane Katherine Fiander, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 860 E Front St, Traverse City, MI 49686 Phone: 231-938-0710 Fax: 231-938-0264 | |
Dr. Robert F Stevenson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3830 W Front St, Traverse City, MI 49684 Phone: 231-929-3888 Fax: 231-929-4365 | |
Nathan Farley, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 860 E Front St, Traverse City, MI 49686 Phone: 231-938-0710 Fax: 231-938-0264 |