| Dr Tara Marie Klix, DO | |
|
804 Service Road, Room D100, East Lansing, MI 48824-7062 | |
| (517) 353-5053 | |
| Not Available |
| Full Name | Dr Tara Marie Klix |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 804 Service Road, East Lansing, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851567788 | NPI | - | NPPES |
| 1851567788 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101017398 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Oakland | Pontiac, MI | Hospital |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Mclaren Caro Region | Caro, MI | Hospital |
| Hills & Dales General Hospital | Cass city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Oakland North Macomb Imaging Inc | 3476526963 | 4 |
| Mclaren Medical Group | 3971416082 | 314 |
| Kellam And Associates Pc | 6204830649 | 14 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Basha Diagnostics P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20040226000460 |
| Entity Name | North Oakland North Macomb Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407842586 PECOS PAC ID: 3476526963 Enrollment ID: O20040813000422 |
| Entity Name | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Entity Name | Kellam & Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366472029 PECOS PAC ID: 6204830649 Enrollment ID: O20060828000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Marie Klix, DO 804 Service Road, Room D100, East Lansing, MI 48824-7062 Ph: (517) 353-5053 | Dr Tara Marie Klix, DO 804 Service Road, Room D100, East Lansing, MI 48824-7062 Ph: (517) 353-5053 |
Thomas Loi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 138 Service Rd Ste A204, East Lansing, MI 48824 Phone: 517-353-4920 Fax: 517-432-2243 | |
Robert Jarrett Steffy, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 846 Service Rd, East Lansing, MI 48824 Phone: 517-355-0120 | |
Dr. Nicholas Starkey, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Dr. Julia Hobson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823 Phone: 517-884-6123 Fax: 517-884-6236 | |
Susan Phelps, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste D100, East Lansing, MI 48824 Phone: 517-353-4941 Fax: 517-432-3145 | |
Suresh K Mukherji, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Justin Wagner, Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Room D100, East Lansing, MI 48824 Phone: 517-355-5053 |