Kenneth James Tack, MD - Internal Medicine in South Lyon, MI

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Kenneth James Tack, MD is a Internal Medicine - Infectious Disease physician based in South Lyon, Michigan. Kenneth James Tack is licensed to practice in Michigan (license number 4301043465) and his current practice location is 10366 Stoney Point Dr, South Lyon, Michigan. He can be reached at his office (for appointments etc.) via phone at (810) 355-8281.

NPI number for Kenneth James Tack is 1932985850 and his current mailing address is 10366 Stoney Point Dr, South Lyon, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932985850.

Contact Information

Kenneth James Tack, MD
10366 Stoney Point Dr,
South Lyon, MI 48178-8053
(810) 355-8281
Not Available

Map and Direction




Physician's Profile

Full NameKenneth James Tack
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location10366 Stoney Point Dr, South Lyon, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932985850
  • Provider Enumeration Date: 09/06/2023
  • Last Update Date: 09/06/2023

Medical Identifiers

Medical identifiers for Kenneth James Tack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932985850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 4301043465 (Michigan)Primary

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. Kenneth James Tack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth James Tack, MD
10366 Stoney Point Dr,
South Lyon, MI 48178-8053

Ph: (810) 355-8281		Kenneth James Tack, MD
10366 Stoney Point Dr,
South Lyon, MI 48178-8053

Ph: (810) 355-8281

Reviews and Comments


Internal Medicine Doctors in South Lyon, MI

Sunali Tamhaney, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 700 Reynold Sweet Pkwy, South Lyon, MI 48178
Phone: 248-790-6437    Fax: 248-676-0697

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.