| Dr Daniel E Tackabury, MD | |
|
3789 Huron St, North Branch, MI 48461-8117 | |
| (810) 688-3093 | |
| (810) 688-3964 |
| Full Name | Dr Daniel E Tackabury |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 3789 Huron St, North Branch, 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 |
|---|---|---|---|
| 1104807973 | NPI | - | NPPES |
| 253174 | Other | MA | MCLAREN HEALTH PLAN |
| C7436 | Other | MA | MCARE |
| 253174 | Other | MA | HEALTH ADVANTAGE NETWORK |
| 4226712 | Medicaid | MI | |
| 0988276 | Other | MA | HEALTH PLUS |
| 6872693001 | Other | MI | CIGNA |
| 7936230 | Other | MI | AETNA |
| H21189 | Other | MI | HEALTH ALLIANCE PLAN |
| H21189 | Other | MI | HEALTH NET FEDERAL SERV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070116 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Health | Davison, MI | Home health agency |
| Residential Home Health And Hospice | Lapeer, MI | Home health agency |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Lapeer Region | 8123000544 | 33 |
| Entity Name | Mclaren Thumb Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245257880 PECOS PAC ID: 6800709221 Enrollment ID: O20040302000921 |
| Entity Name | Mclaren Lapeer Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124151147 PECOS PAC ID: 8123000544 Enrollment ID: O20050730000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel E Tackabury, MD 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-1000 | Dr Daniel E Tackabury, MD 3789 Huron St, North Branch, MI 48461-8117 Ph: (810) 688-3093 |
Antonio Dicarlo, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Huron St, North Branch, MI 48461 Phone: 810-688-3048 Fax: 877-848-0921 | |
William J Starbird, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Huron St, North Branch, MI 48461 Phone: 810-688-3048 Fax: 810-688-2640 |