Katja N Tandarich, NP-C | |
21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | |
(586) 779-7610 | |
Not Available |
Full Name | Katja N Tandarich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 21000 E 12 Mile Rd, Saint Clair Shores, 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 |
---|---|---|---|
1801331210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704210394 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Entity Name | Lakeshore Ear Nose And Throat Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285803346 PECOS PAC ID: 7315928934 Enrollment ID: O20040528000112 |
Mailing Address | Practice Location Address |
---|---|
Katja N Tandarich, NP-C 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 | Katja N Tandarich, NP-C 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 |
Nicole Irene Back, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22213 Love St, Saint Clair Shores, MI 48082 Phone: 734-626-4672 | |
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088 | |
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398 | |
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070 |