Dr Thomas Mcconnon, MD is a medicare enrolled "Emergency Medicine" physician in Lake Linden, Michigan. He went to Wayne State University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Upper Great Lakes Family Health Center and his current practice location is
945 9th St, Lake Linden, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 483-1030.
Dr Thomas Mcconnon is licensed to practice in Michigan (license number 4301044670) 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 1811919251.
Physician's Profile
| Full Name | Dr Thomas Mcconnon |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 43 Years |
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| Location | 945 9th St, Lake Linden, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas Mcconnon attended and graduated from Wayne State University School Of Medicine in 1981
NPI Data:
- NPI Number: 1811919251
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 04/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214821115
- Enrollment ID: I20051101000068
Medical Identifiers
Medical identifiers for Dr Thomas Mcconnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811919251 | NPI | - | NPPES |
| 4795520 | Medicaid | MI | |
| TM044670 | Other | MI | MI BCBS PIN |
| 34801400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 4301044670 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Upper Great Lakes Family Health Center | 1951432384 | 31 |
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 Thomas Mcconnon allows following entities to bill medicare on his behalf.
| Entity Name | Upper Great Lakes Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700103777
PECOS PAC ID: 1951432384
Enrollment ID: O20100629000853 |
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| Entity Name | Portage Physician Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225461684
PECOS PAC ID: 6103053509
Enrollment ID: O20131210001058 |
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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 Thomas Mcconnon 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 |
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Dr Thomas Mcconnon, MD
301 Explorer St,
Gwinn, MI 49841-2813
Ph: (906) 346-4924 | Dr Thomas Mcconnon, MD
945 9th St,
Lake Linden, MI 49945-1100
Ph: (906) 483-1030 |
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