| Dr Tyson Burghardt, MD | |
|
804 Service Road, Room A217, East Lansing, MI 48824-7040 | |
| (517) 353-8122 | |
| (517) 432-3713 |
| Full Name | Dr Tyson Burghardt |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 18 Years |
| Location | 804 Service Road, East Lansing, 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 |
|---|---|---|---|
| 1033353198 | NPI | - | NPPES |
| 1033353198 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301092895 (Michigan) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 4301092895 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
| Msu Health Care Inc | 8628404936 | 210 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyson Burghardt, MD 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Tyson Burghardt, MD 804 Service Road, Room A217, East Lansing, MI 48824-7040 Ph: (517) 353-8122 |
Debra F Duxbury, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
Dr. Jeffrey Allen Frey, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 Fee Rd, Fee Hall Room B119, East Lansing, MI 48824 Phone: 517-353-3070 Fax: 517-432-3603 | |
Garett Braeburn, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 965 Wilson Rd Rm A233, East Lansing, MI 48824 Phone: 517-353-4362 | |
Syed Hussain, M.B.B.S. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 804 Service Road, Room A217, East Lansing, MI 48824 Phone: 517-353-8122 | |
Michael J Lim, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 965 Fee Road, Room A233, Msu And Affiliated Hospitals Psychiatry Residency Prog., East Lansing, MI 48824 Phone: 248-385-3888 | |
David Mack, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2001 Abbot Rd, East Lansing, MI 48823 Phone: 517-337-6545 Fax: 517-337-3010 |