| Anthony Iacco, MD | |
|
22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | |
| (248) 551-9090 | |
| Not Available |
| Full Name | Anthony Iacco |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 18 Years |
| Location | 22987 W 13 Mile Rd, Beverly Hills, 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 |
|---|---|---|---|
| 1669636718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 4301092602 (Michigan) | Secondary |
| 208600000X | Surgery | 4301092602 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 520 |
| Beaumont Medical Group Hospital Based Services | 3072875889 | 583 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Iacco, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: () - | Anthony Iacco, MD 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 Ph: (248) 551-9090 |
Dr. Perry Ross Altman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17877 W 14 Mile Rd, Beverly Hills, MI 48025 Phone: 248-644-3920 Fax: 248-644-2569 |