Matthew Ryan Tommack, DO | |
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
(208) 283-1949 | |
Not Available |
Full Name | Matthew Ryan Tommack |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 28050 Grand River Ave, Farmington Hills, 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 |
---|---|---|---|
1063645570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5101018452 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Healthcare Resources Llc | 4486835477 | 127 |
Entity Name | Oregon Healthcare Resources Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
Mailing Address | Practice Location Address |
---|---|
Matthew Ryan Tommack, DO 1350 Nw Domenico Dr, Roseburg, OR 97471-1891 Ph: (208) 283-1949 | Matthew Ryan Tommack, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (208) 283-1949 |
Mrs. Deeshali Shah, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 559-789-7547 | |
Dr. Joshua Martin Similuk, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8224 | |
Dr. Steven Joel Zuckerman, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8371 | |
Dr. Steven Wallace Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8399 | |
Jason Patrick Sullivan, DO Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Dr. John Paul Rogers, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |