Tom Stathakios, MD | |
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
(313) 436-2374 | |
Not Available |
Full Name | Tom Stathakios |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 37 Years |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255405767 | NPI | - | NPPES |
P52260001 | Other | MI | MIGTBA MEDICARE REASSIGN |
050H26218 | Other | FL | MI BCBS |
104156743 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 058286 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Tom Stathakios, MD 2 Columbia Dr, Sutie A327, Tampa, FL 33606-3508 Ph: (813) 844-4396 | Tom Stathakios, MD 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 436-2374 |
Dr. Clarence C. Rayos, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-8280 Fax: 313-982-8271 | |
Dr. Debora Ann Kaczynski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-1573 | |
Dr. Lisa Michelle Tyra Soranno, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5159 Fax: 313-982-5115 | |
Ms. Heather Assad Zacur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24327 Ford Rd, Dearborn, MI 48128 Phone: 617-732-8210 | |
Dr. Aaron Scott Goldfein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2040 Monroe St, Suite #209, Dearborn, MI 48124 Phone: 313-359-3800 Fax: 313-277-4100 | |
Zulfiqar Ahmed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dept Of Anesthesiology, Dearborn, MI 48124 Phone: 313-593-7050 Fax: 313-982-5110 | |
James Lambert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Suite 206, Dearborn, MI 48124 Phone: 313-593-1573 |