Dr Keith B Tom, DO in Shelby Twp, MI - Medicare Family Practice

Dr Keith B Tom, DO is a medicare enrolled "Family Medicine" physician in Shelby Twp, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Family Practice. His current practice location is 49221 Van Dyke, Shelby Twp, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 254-4860.

Dr Keith B Tom is licensed to practice in Michigan (license number 5101008999) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609850130.

Contact Information

	Dr Keith B Tom, DO
	49221 Van Dyke, Shelby Twp, MI 48317-1336
	(586) 254-4860
	(586) 254-5844

Map and Direction

Physician's Profile

Full Name	Dr Keith B Tom
Gender	Male
Speciality	Family Practice
Experience	40 Years
Location	49221 Van Dyke, Shelby Twp, 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.

Medical Education and Training:

Dr Keith B Tom attended and graduated from Michigan State University College Of Osteopathic Medicine in 1985

NPI Data:

NPI Number: 1609850130
Provider Enumeration Date: 11/29/2005
Last Update Date: 10/25/2007

Medicare PECOS Information:

PECOS PAC ID: 1052378676
Enrollment ID: I20041215000775

Medical Identifiers

Medical identifiers for Dr Keith B Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609850130	NPI	-	NPPES
2646558	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101008999 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Keith B Tom allows following entities to bill medicare on his behalf.

Entity Name	Shelbydale Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629258488 PECOS PAC ID: 4880651405 Enrollment ID: O20041215000750

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith B Tom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Keith B Tom, DO 49221 Van Dyke, Shelby Twp, MI 48317-1336 Ph: (586) 254-4860	Dr Keith B Tom, DO 49221 Van Dyke, Shelby Twp, MI 48317-1336 Ph: (586) 254-4860

Reviews and Comments

Family Medicine Doctors in Shelby Twp, MI

Marcia Elizabeth Kling, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47733 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-254-2534 Fax: 586-254-3889
Kristen Elizabeth Kavanagh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 51221 Schoenherr Rd Ste 201, Shelby Twp, MI 48315 Phone: 586-323-4450 Fax: 586-323-4448
Shara L Croff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6300 22 Mile Rd, Shelby Twp, MI 48317 Phone: 586-726-9860
Kristina Maria Wixon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 24 Mile Rd, Shelby Twp, MI 48316 Phone: 586-677-3310 Fax: 586-677-3326
Dr. Sheetal Varde, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49310 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-731-8900 Fax: 586-731-7762

Dr Keith B Tom, DO - Medicare Family Practice in Shelby Twp, MI