| Dr Costandinos Tsagaratos, DO | |
|
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
| (586) 263-2601 | |
| (586) 263-2589 |
| Full Name | Dr Costandinos Tsagaratos |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 15855 19 Mile Rd, Clinton Township, 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 |
|---|---|---|---|
| 1164620746 | NPI | - | NPPES |
| 12655418 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101020835 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Emergency Physicians Pc | 6709798325 | 173 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Professional Emergency Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326235698 PECOS PAC ID: 3870493588 Enrollment ID: O20040119000662 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Costandinos Tsagaratos, DO 38935 Ann Arbor Road, Pec Credentialing Hfm, Livonia, MI 48150-3397 Ph: (248) 237-3226 | Dr Costandinos Tsagaratos, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2601 |
Cynthia Gee, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 701-340-2053 |
Dr. James Lee, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950 |
Nicole Adams, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 |
Dr. Jennifer Serene Wong, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2953 |
Dr. Donal Jeremy Spry, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 |
Dr. Shama Patel, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2953 |
Ian Skinner, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2953 |