| Dr Thomas Pence Boike, MD | |
|
6770 Dixie Hwy Ste 106, Clarkston, MI 48346-2088 | |
| (248) 625-0300 | |
| (248) 625-0363 |
| Full Name | Dr Thomas Pence Boike |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 6770 Dixie Hwy Ste 106, Clarkston, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699970525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | N5580 (Texas) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 4301086290 (Michigan) | Primary |
| Entity Name | Michigan Institute Of Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Entity Name | West Michigan Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447261730 PECOS PAC ID: 8628971199 Enrollment ID: O20040130000961 |
| Entity Name | American Oncologic Associates Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104890102 PECOS PAC ID: 3577558980 Enrollment ID: O20040415001236 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Pence Boike, MD 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 487-4209 | Dr Thomas Pence Boike, MD 6770 Dixie Hwy Ste 106, Clarkston, MI 48346-2088 Ph: (248) 625-0300 |
Dr. Kay T. Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6770 Dixie Hwy, Suite #106, Clarkston, MI 48346 Phone: 248-625-0300 Fax: 248-625-0363 |