| Thomas E Tomczak Jr, MD | |
|
2431 S. M-30, West Branch, MI 48661-9312 | |
| (989) 894-3278 | |
| (989) 891-8155 |
| Full Name | Thomas E Tomczak Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 2431 S. M-30, West Branch, 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 |
|---|---|---|---|
| 1780607853 | NPI | - | NPPES |
| 4891491 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704213286 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4704213286 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Bay Region | Bay city, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Saint Mary's Standish Community Hospital | Standish, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Medical Group | 3971416082 | 314 |
| Mclaren Bay Region | 5597659011 | 102 |
| Mclaren Central Michigan | 6103733092 | 168 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Mclaren Bay Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Tomczak Jr, MD 401 S. Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-1000 | Thomas E Tomczak Jr, MD 2431 S. M-30, West Branch, MI 48661-9312 Ph: (989) 894-3278 |