Dr Timothy B Hanley, MD | |
3830 W Front St, Traverse City, MI 49684-8153 | |
(231) 929-3888 | |
(231) 929-4365 |
Full Name | Dr Timothy B Hanley |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3830 W Front St, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144214180 | NPI | - | NPPES |
1020070001 | Other | MI | DMERC REG B |
180018787 | Other | MI | RAILROAD MEDICARE |
180B86357 | Other | MI | BLUE CROSS BLUE SHIELD |
103164508 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 4301048021 (Michigan) | Primary |
Entity Name | Cedar Run Eye Center Optical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518029909 PECOS PAC ID: 8527165000 Enrollment ID: O20100311000953 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy B Hanley, MD 3830 W Front St, Traverse City, MI 49684-8153 Ph: (231) 929-3888 | Dr Timothy B Hanley, MD 3830 W Front St, Traverse City, MI 49684-8153 Ph: (231) 929-3888 |
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. 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 |