| Dr Eugene Walter Tryciecky, DO | |
|
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
| (248) 471-8371 | |
| Not Available |
| Full Name | Dr Eugene Walter Tryciecky |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 28050 Grand River Ave, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467522961 | NPI | - | NPPES |
| 300127739 | Other | MI | RAILROAD MEDICARE |
| 4371188 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101007736 (Michigan) | Primary |
| Entity Name | Mmg 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eugene Walter Tryciecky, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (248) 471-8371 | Dr Eugene Walter Tryciecky, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (248) 471-8371 |
Mrs. Deeshali Shah, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 559-789-7547 | |
Dr. Joshua Martin Similuk, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8224 | |
Dr. Steven Joel Zuckerman, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8371 | |
Dr. Steven Wallace Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8399 | |
Dr. Eric Joseph Biondo-savin, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28595 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334 Phone: 248-553-0010 Fax: 248-553-5957 | |
Jason Patrick Sullivan, DO Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Matthew Ryan Tommack, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 208-283-1949 |