Tyler John Gleason, MD | |
3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | |
(616) 363-7272 | |
(616) 361-5828 |
Full Name | Tyler John Gleason |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 8 Years |
Location | 3264 N Evergreen Dr Ne, Grand Rapids, 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 |
---|---|---|---|
1851747422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301511735 (Michigan) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 90392 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Radiology, Llc | 1052696432 | 69 |
M And B Imaging, Pc | 1557623782 | 59 |
Synergy Radiology Llc | 2668727744 | 69 |
Quantum Radiology Pc | 4385543230 | 94 |
Entity Name | Quantum Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366495988 PECOS PAC ID: 4385543230 Enrollment ID: O20040108000728 |
Entity Name | Pro Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164966461 PECOS PAC ID: 1052696432 Enrollment ID: O20170327002470 |
Entity Name | M & B Imaging, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20180327002648 |
Entity Name | Synergy Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558886341 PECOS PAC ID: 2668727744 Enrollment ID: O20180613001114 |
Mailing Address | Practice Location Address |
---|---|
Tyler John Gleason, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 | Tyler John Gleason, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 |
Dr. Jon R Henke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290 | |
Geoffrey M. Remes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828 | |
Jan L Mourelatos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828 | |
Dr. Brendan Michael Banyon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 | |
Dr. Joseph J Junewick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290 | |
Keith Alan Morrow, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828 | |
Dr. Andrew Kent Moriarity, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 |