Kenneth P Tarr, DO | |
4700 Schaefer Rd., Dearborn, MI 48126-3698 | |
(313) 581-2600 | |
(313) 581-0228 |
Full Name | Kenneth P Tarr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 4700 Schaefer Rd., Dearborn, 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 |
---|---|---|---|
1902834070 | NPI | - | NPPES |
CA5318 | Other | MI | MEDICARE RR GROUP PIN |
1876132 | Medicaid | MI | |
300073227 | Other | MI | RRMC |
3156310454 | Other | MI | BCBS PIN # |
1876123 | Medicaid | MI | |
310D460020 | Other | MI | BCBS GROUP PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5101008688 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Lapeer Region | Lapeer, MI | Hospital |
Mclaren Oakland | Pontiac, MI | Hospital |
Hills & Dales General Hospital | Cass city, MI | Hospital |
Mclaren Caro Region | Caro, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kellam And Associates Pc | 6204830649 | 17 |
Entity Name | North Oakland North Macomb Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407842586 PECOS PAC ID: 3476526963 Enrollment ID: O20040813000422 |
Entity Name | Southfield Rehabilitation Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
Entity Name | Kellam & Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366472029 PECOS PAC ID: 6204830649 Enrollment ID: O20060828000091 |
Mailing Address | Practice Location Address |
---|---|
Kenneth P Tarr, DO 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Kenneth P Tarr, DO 4700 Schaefer Rd., Dearborn, MI 48126-3698 Ph: (313) 581-2600 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |