Jeffrey S Tanis, MD | |
602 Michigan Ave, Holland, MI 49423 | |
(616) 392-5141 | |
Not Available |
Full Name | Jeffrey S Tanis |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 602 Michigan Ave, Holland, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376575340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301054174 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Spectrum Health Zeeland Community Hospital | Zeeland, MI | Hospital |
Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology Services Pc | 4284546516 | 237 |
Spartan Radiology Inc | 5698003697 | 176 |
Entity Name | Advanced Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
Entity Name | Spartan Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey S Tanis, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 | Jeffrey S Tanis, MD 602 Michigan Ave, Holland, MI 49423 Ph: (616) 392-5141 |
Gerald Joseph Perriguey Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Paula Kristine Maas, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1904 Goldeneye Dr, Holland, MI 49424 Phone: 616-399-3662 | |
Konstantin Raimund Loewig, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Gary L Bowman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Edward Jerome Maas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Richard Wayne Partridge, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 |