| Dr Thomas C Nussdorfer, MD | |
|
3074 N Us 31 S, Traverse City, MI 49684-4533 | |
| (231) 929-1234 | |
| (231) 935-0984 |
| Full Name | Dr Thomas C Nussdorfer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 3074 N Us 31 S, Traverse City, 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 |
|---|---|---|---|
| 1134124662 | NPI | - | NPPES |
| 383530686052 | Other | MI | COMMUNITY CHOICE |
| 0B81066 | Other | MI | BLUE CARE NETWORK |
| 1134124662 | Other | MI | THOMAS NUSSDORFER MD |
| 1134124662 | Medicaid | MI | |
| 349386200 | Other | MI | US POSTAL |
| 4391565 | Medicaid | MI | |
| 700B810660 | Other | MI | BLUE CARE NETWORK |
| A75289 | Other | MI | PRIORITY HEALTH |
| 000000008993 | Other | MI | CAP HEALTH |
| 121591 | Other | MI | UNITED HEALTH |
| 132959 | Other | MI | CARE CHOICES |
| 1851344964 | Other | MI | CORP NPI |
| 383530686 | Other | MI | PPOM |
| 1134124662 | Other | MI | INDIVIDUAL NPI NUMBER |
| 080189368 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301046246 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Mecosta County | Big rapids, MI | Hospice |
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Chronic Care Management Llc | 7214150770 | 13 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Chronic Care Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730506726 PECOS PAC ID: 7214150770 Enrollment ID: O20140602001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas C Nussdorfer, MD 3074 N Us 31 S, Traverse City, MI 49684-4533 Ph: (231) 929-1234 | Dr Thomas C Nussdorfer, MD 3074 N Us 31 S, Traverse City, MI 49684-4533 Ph: (231) 929-1234 |
Satya Pillay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
Samantha K Windle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
Dr. Donald James Aiken, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16544 Wrightwood Terrace Dr, Traverse City, MI 49686 Phone: 231-223-7465 | |
Kaitlyn Lee Kilpatrick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
David J Wilcox, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Business Park Dr, Traverse City, MI 49686 Phone: 800-968-6866 | |
Mark A Jackson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 Phone: 231-935-0913 Fax: 231-935-0984 | |
Gary Stephen Ruoff, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 South Garfield Ave, Traverse City, MI 49686 Phone: 231-935-0580 Fax: 231-935-0584 |