| Paul O Thieme Jr, DO | |
|
420 W Magnetic Street, Marquette, MI 49855 | |
| (906) 228-9440 | |
| (906) 225-3772 |
| Full Name | Paul O Thieme Jr |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 37 Years |
| Location | 420 W Magnetic Street, Marquette, 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 |
|---|---|---|---|
| 1568535938 | NPI | - | NPPES |
| 4565403 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 010272 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health Reed City Hospital | Reed city, MI | Hospital |
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiation Oncology Centers Pc | 2860437092 | 8 |
| Entity Name | Radiation Oncology Centers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073610713 PECOS PAC ID: 2860437092 Enrollment ID: O20050628000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul O Thieme Jr, DO 1895 M 28 E, Marquette, MI 49855-9546 Ph: (906) 249-4942 | Paul O Thieme Jr, DO 420 W Magnetic Street, Marquette, MI 49855 Ph: (906) 228-9440 |
Dr. Nidhi Azad Gupta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Michael V. Ouimette, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-7808 | |
Dr. Henry Kai Lee, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Radiation Oncology Depart., Marquette General Hosp., Marquette, MI 49855 Phone: 906-225-3102 | |
Christopher J Mehall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-7808 | |
Dr. Hasnain Haider-shah, M.D., C.M. Radiology Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-7808 | |
Dr. Christina Arnoldus, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-4845 |