| Carl Tack, MD | |
|
1000 36th St, Vero Beach, FL 32960-4862 | |
| (772) 563-4711 | |
| Not Available |
| Full Name | Carl Tack |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 44 Years |
| Location | 1000 36th St, Vero Beach, Florida |
| 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 |
|---|---|---|---|
| 1023189529 | NPI | - | NPPES |
| 01225323 | Medicaid | NY | |
| 200093473 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 122629 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Tack, MD 22 Gateway Ln, Manorville, NY 11949-2527 Ph: (718) 612-6662 | Carl Tack, MD 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 563-4711 |
Dr. Robert R Bisset, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Bernadette G Ramos-cardona, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Vero Radiology, Indian River, 3725 11th Cir, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Joanne Wojick Wernicki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1485 37th St, Suite 107, Vero Beach, FL 32960 Phone: 772-569-9745 Fax: 772-567-6868 | |
Dr. John James Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 Fax: 772-567-5631 | |
Raymond Sutkowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. David M Tabriz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |