Tracy J Tacket, DO | |
4 Longmeadow Village Dr, Niles, MI 49120-7809 | |
(269) 684-6000 | |
(269) 684-1388 |
Full Name | Tracy J Tacket |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 4 Longmeadow Village Dr, Niles, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487775847 | NPI | - | NPPES |
1487775847 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101017117 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Medical Practices | 1658427042 | 260 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Tracy J Tacket, DO 4 Longmeadow Village Dr, Niles, MI 49120-7809 Ph: (269) 684-6000 | Tracy J Tacket, DO 4 Longmeadow Village Dr, Niles, MI 49120-7809 Ph: (269) 684-6000 |
Rosa Lee Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
Glenda M Gensolin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 | |
Elizabeth Ann Mcglothlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Lindsey Kathryn Kinney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Longmeadow Village Drive, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
James E Strycker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
John W. Howard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
Dr. Charles Andrew Mosimbwa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 E Main St, Niles, MI 49120 Phone: 269-683-7411 |