| Mr Daniel Glen Vickers, DO | |
|
138 Service Rd Ste D100, East Lansing, MI 48824-1313 | |
| (517) 353-5053 | |
| Not Available |
| Full Name | Mr Daniel Glen Vickers |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 138 Service Rd Ste D100, 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 |
|---|---|---|---|
| 1902007644 | NPI | - | NPPES |
| 1902007644 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101016856 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Cn Lp | 0547589376 | 16 |
| North Star Fm Lp | 1153591763 | 53 |
| Radiology Muskegon, Pc | 1355241191 | 22 |
| North Star Mcd Llc | 2668659434 | 67 |
| North Star Mri Of Frisco Lp | 2769574854 | 43 |
| North Star Mri Lp | 5890762330 | 53 |
| North Star Diagnostic Imaging Llc | 8729118021 | 33 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Entity Name | Radiology Muskegon, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841208071 PECOS PAC ID: 1355241191 Enrollment ID: O20040109000458 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20190319000046 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20191223000533 |
| Entity Name | North Star Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20241205000438 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20241205000999 |
| Entity Name | North Star Npt Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20241205002450 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700550282 PECOS PAC ID: 2668659434 Enrollment ID: O20241211000340 |
| Entity Name | North Star Mri Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20250108001631 |
| Entity Name | North Star Gv Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20250109002875 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20250610001738 |
| Entity Name | North Star Fp Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20250611001590 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Glen Vickers, DO 605 W Western Ave, Muskegon, MI 49440-1080 Ph: (231) 722-6005 | Mr Daniel Glen Vickers, DO 138 Service Rd Ste D100, East Lansing, MI 48824-1313 Ph: (517) 353-5053 |
Thomas Loi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 138 Service Rd Ste A204, East Lansing, MI 48824 Phone: 517-353-4920 Fax: 517-432-2243 | |
Robert Jarrett Steffy, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 846 Service Rd, East Lansing, MI 48824 Phone: 517-355-0120 | |
Dr. Nicholas Starkey, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Dr. Julia Hobson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823 Phone: 517-884-6123 Fax: 517-884-6236 | |
Susan Phelps, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste D100, East Lansing, MI 48824 Phone: 517-353-4941 Fax: 517-432-3145 | |
Suresh K Mukherji, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Justin Wagner, Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Room D100, East Lansing, MI 48824 Phone: 517-355-5053 |