| Vincent James Tkac, MS OTRL | |
|
23265 Northwestern Hwy Ste 200, Southfield, MI 48075-7707 | |
| (248) 996-9428 | |
| Not Available |
| Full Name | Vincent James Tkac |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 23265 Northwestern Hwy Ste 200, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033771589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 5201010622 (Michigan) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent James Tkac, MS OTRL Po Box 7427, Dearborn, MI 48121-7427 Ph: () - | Vincent James Tkac, MS OTRL 23265 Northwestern Hwy Ste 200, Southfield, MI 48075-7707 Ph: (248) 996-9428 |
Meredith Nackley, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26440 Berg Rd, Unit 1006, Southfield, MI 48033 Phone: 315-534-9747 | |
Brenda Marie Bradley, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23265 Northwestern Hwy, Southfield, MI 48075 Phone: 833-446-7246 | |
Mrs. Maureen Elizabeth Palmer, OTR, CIMT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25811 W 12 Mile Rd, Suite 101, Southfield, MI 48034 Phone: 248-356-7415 Fax: 248-356-7416 | |
Joshua Stoll, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21700 Northwestern Hwy Ste 900, Southfield, MI 48075 Phone: 248-798-6420 | |
Rivetus Rehabilitation Occupational Therapist Medicare: Medicare Enrolled Practice Location: 26900 Franklin Rd, Southfield, MI 48033 Phone: 248-350-8070 | |
Madison Kowalewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26715 Greenfield Rd, Southfield, MI 48076 Phone: 248-557-0050 |