| George O Kucy, MD | |
|
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
| (586) 263-2458 | |
| (586) 263-2258 |
| Full Name | George O Kucy |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 35 Years |
| Location | 15855 19 Mile Rd, Clinton Township, 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 |
|---|---|---|---|
| 1063449825 | NPI | - | NPPES |
| 3193199 | Medicaid | MI | |
| 220016Y05 | Other | MI | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 062182 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Henry Ford Pathology | 6406953439 | 30 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Henry Ford Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851410005 PECOS PAC ID: 6406953439 Enrollment ID: O20070525000207 |
| Mailing Address | Practice Location Address |
|---|---|
| George O Kucy, MD 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2458 | George O Kucy, MD 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2458 |
Dr. Joseph John Memminger Iii, MDPH.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 23885 Denton St Ste B, Clinton Township, MI 48036 Phone: 941-914-4321 | |
Dr. Daniel Joseph Spitz, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 34051 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 Phone: 586-791-6700 | |
Demetrius Govan, Pathology Medicare: Not Enrolled in Medicare Practice Location: 20575 Harmony Dr, Clinton Township, MI 48036 Phone: 313-721-2413 | |
Dr. Mary Beth Anderson, D.O. Pathology Medicare: Medicare Enrolled Practice Location: 18756 Millar Rd, Clinton Township, MI 48036 Phone: 586-381-0177 Fax: 859-987-7661 | |
Eve M Vanegmond, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2461 | |
Dr. Wendy Frauchiger, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-872-8121 |