| Dr Tavis Andrew Dancik, MD | |
|
30701 Woodward Ave Ste 333, Royal Oak, MI 48073-0987 | |
| (248) 847-2060 | |
| (248) 301-9780 |
| Full Name | Dr Tavis Andrew Dancik |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 30701 Woodward Ave Ste 333, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396971263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | A120868 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4301104646 (Michigan) | Primary |
| Entity Name | Jerry A Dancik |
|---|---|
| Entity Type | Practitioner - Nephrology |
| Entity Identifiers | NPI Number: 1366412066 PECOS PAC ID: 0547156614 Enrollment ID: I20040628000471 |
| Entity Name | Tavis A Dancik Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679394589 PECOS PAC ID: 5092241539 Enrollment ID: O20241209000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tavis Andrew Dancik, MD Po Box 190, Birmingham, MI 48012-0190 Ph: (248) 847-2060 | Dr Tavis Andrew Dancik, MD 30701 Woodward Ave Ste 333, Royal Oak, MI 48073-0987 Ph: (248) 847-2060 |
Rohma Shamsi, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3850 | |
Nicole Marijanovich, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580 | |
Vinayata Manuballa Kareti, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803 | |
Christopher Carpenter, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495 | |
Dr. Matthew Burns Cotant, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909 | |
Taylor Schoenheit, Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Shane Mckenna, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425 |