Tucker Gisler Jennings, MD | |
33101 Annapolis St Ste 100, Wayne, MI 48184-2405 | |
(734) 467-2670 | |
Not Available |
Full Name | Tucker Gisler Jennings |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 33101 Annapolis St Ste 100, Wayne, 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 |
---|---|---|---|
1740210251 | NPI | - | NPPES |
3002472000 | Medicaid | WV | |
020049281 | Other | RAILROAD MEDICARE | |
2258506 | Medicaid | OH | |
64073851 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301506625 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Tucker Gisler Jennings, MD 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: () - | Tucker Gisler Jennings, MD 33101 Annapolis St Ste 100, Wayne, MI 48184-2405 Ph: (734) 467-2670 |
Dr. Vishnu Teja Pemmaraju, MD Surgery Medicare: Medicare Enrolled Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Adewunmi Adeyemo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Dr. Dawood Ghassan Dalaly, MS , DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 |