| Thomas R Hartzell, MD | |
|
21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081-1156 | |
| (800) 848-0202 | |
| (586) 226-6949 |
| Full Name | Thomas R Hartzell |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 21000 E 12 Mile Rd, Saint Clair Shores, 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 |
|---|---|---|---|
| 1619966256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301052970 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Entity Name | Ascension Medical Group Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Hartzell, MD 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081-1156 Ph: (800) 848-0202 | Thomas R Hartzell, MD 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081-1156 Ph: (800) 848-0202 |
Dr. Suzanne M Millican, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400 | |
Dr. Andrea Maria Abessinio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080 Phone: 586-772-6822 Fax: 586-772-6632 | |
Regina Frost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22050 Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-777-2550 Fax: 586-777-2447 | |
Dr. Joyce Catherine Purakal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081 Phone: 586-447-5100 Fax: 586-447-5090 | |
Kelly Marie Larimore, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400 | |
Wontika R. Smith, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400 Fax: 586-772-1440 |