| Dr Keith M Tobin, DO | |
|
28701 Plymouth Rd, Livonia, MI 48150-2335 | |
| (734) 427-9900 | |
| (734) 427-8963 |
| Full Name | Dr Keith M Tobin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 28701 Plymouth Rd, Livonia, 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 |
|---|---|---|---|
| 1083611560 | NPI | - | NPPES |
| 4082200 | Medicaid | MI | |
| 5101010694 | Other | MI | STATE LICENSE NUMBER |
| 5820442 | Other | MI | BCBS PROVIDER ID |
| 993699 | Other | MI | AETNA PROVIDER ID |
| F05096 | Other | MI | HAP PROVIDER ID |
| C4002 | Other | MI | MCARE PROVIDER ID |
| P86747 | Other | MI | BCN PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010694 (Michigan) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 5101010694 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amber Home Health Care | Dearborn, MI | Home health agency |
| Seniors Home Health Care | Southfield, MI | Home health agency |
| Beaumont Home Health | Madison heights, MI | Home health agency |
| Royalcare | W bloomfield, MI | Home health agency |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Fountain Bleu Health And Rehabilitation Center | Livonia, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Geriatric Consultants Plc | 1951370386 | 4 |
| Keith M Tobin Do Pc | 4284738873 | 2 |
| Entity Name | American Geriatric Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588749410 PECOS PAC ID: 1951370386 Enrollment ID: O20041001000128 |
| Entity Name | Keith M Tobin Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316084395 PECOS PAC ID: 4284738873 Enrollment ID: O20070410000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith M Tobin, DO 28701 Plymouth Rd, Livonia, MI 48150-2335 Ph: (734) 427-9900 | Dr Keith M Tobin, DO 28701 Plymouth Rd, Livonia, MI 48150-2335 Ph: (734) 427-9900 |
Dr. Elizabeth K. Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20321 Farmington Road, Livonia, MI 48152 Phone: 248-888-9000 | |
Dr. Stella S Evangelista, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10475 Farmington Rd, Livonia, MI 48150 Phone: 734-427-9440 Fax: 734-427-1701 | |
Katelyn E Bonkowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd Ste 210, Livonia, MI 48152 Phone: 734-853-5694 | |
Mark D Stacherski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Suite 220, Livonia, MI 48152 Phone: 734-432-7581 Fax: 734-853-5698 | |
Paul Jackson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Newburgh Rd, Suite 103, Livonia, MI 48152 Phone: 734-464-9540 Fax: 734-464-0438 | |
Ganka Anguelova Spassova, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18770 Farmington Rd, Livonia, MI 48152 Phone: 734-284-6338 |