Tom Obertynski, MD is a medicare enrolled "Ophthalmology" physician in Pleasant Ridge, Michigan. He went to Wayne State University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Beaumont Medical Group- Specialty Services, Michigan Glaucoma And Cataract Pc and his current practice location is
404 E 10 Mile Rd Ste 100, Pleasant Ridge, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 220-5252.
Tom Obertynski is licensed to practice in Michigan (license number 4301082091) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710109939.
Physician's Profile
Full Name | Tom Obertynski |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 22 Years |
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Location | 404 E 10 Mile Rd Ste 100, Pleasant Ridge, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tom Obertynski attended and graduated from Wayne State University School Of Medicine in 2002
NPI Data:
- NPI Number: 1710109939
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759481195
- Enrollment ID: I20070713000407
Medical Identifiers
Medical identifiers for Tom Obertynski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710109939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 4301082091 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Michigan Glaucoma And Cataract Pc | 7416957352 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tom Obertynski allows following entities to bill medicare on his behalf.
Entity Name | Michigan Glaucoma & Cataract Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073540324 PECOS PAC ID: 7416957352 Enrollment ID: O20061228000136 |
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Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
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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. Tom Obertynski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tom Obertynski, MD 404 E 10 Mile Rd Ste 100, Pleasant Ridge, MI 48069-1201 Ph: (248) 220-5252 | Tom Obertynski, MD 404 E 10 Mile Rd Ste 100, Pleasant Ridge, MI 48069-1201 Ph: (248) 220-5252 |
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