| Kenneth Tucker, MD | |
|
11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 | |
| (586) 751-2072 | |
| (586) 751-1302 |
| Full Name | Kenneth Tucker |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 65 Years |
| Location | 11900 E 12 Mile Rd, Warren, 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 |
|---|---|---|---|
| 1669479846 | NPI | - | NPPES |
| 700H273300 | Other | MI | BCBSM |
| 1672544 | Medicaid | MI | |
| KT024231 | Other | MI | BCBSM OTHER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 4301024231 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 463 |
| 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 |
|---|---|
| Kenneth Tucker, MD 11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 Ph: (586) 751-2072 | Kenneth Tucker, MD 11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 Ph: (586) 751-2072 |
Rachel Marie Koch, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Jon Whitman Mackey, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Martin Irvin Schock, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 11885 E 12 Mile Rd, Suite 100a, Warren, MI 48093 Phone: 586-576-1615 Fax: 586-576-1628 | |
Salim Meram, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-573-5890 Fax: 586-573-5525 | |
Larry B Tankanow, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 27472 Schoenherr Rd Ste 100, Warren, MI 48088 Phone: 586-751-8844 Fax: 586-751-8596 | |
Leslie Adele Scott, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Firas Zahwe, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd Ste 308, Warren, MI 48093 Phone: 586-804-7525 Fax: 586-209-2486 |