| Tara Nelson, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8195 | |
| Not Available |
| Full Name | Tara Nelson |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 14 Years |
| Location | 1000 Harrington St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598053340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101019303 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 5101019303 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis - Clinton | Clinton township, MI | Dialysis facility |
| Fmc - Shelby | Shelby township, MI | Dialysis facility |
| Fmc - St Clair Shores | Saint clair shores, MI | Dialysis facility |
| Fmc - Chesterfield | Chesterfield, MI | Dialysis facility |
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Macomb Internal Medicine Pc | 2961468723 | 8 |
| Entity Name | Macomb Internal Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639266885 PECOS PAC ID: 2961468723 Enrollment ID: O20041203000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Nelson, DO 15520 19 Mile Rd Ste 480, Clinton Township, MI 48038-6332 Ph: (586) 228-1010 | Tara Nelson, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8195 |
Dr. Vasudevarao Mandava, M.D Nephrology Medicare: Medicare Enrolled Practice Location: 18 Market St, Suite C, Mount Clemens, MI 48043 Phone: 586-783-2222 Fax: 586-783-6280 | |
Japjit Kaur Serai, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Haditya Behl, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Robert A Chang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Misha Kaur Chowdhary, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Travis Singh Sekhon, DO Nephrology Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Venkata Munagala, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |