| Thomas Kizy Md Pllc | |
|
329 Columbia St Algonac MI 48001 | |
| (810) 671-3190 | |
| (810) 671-3263 |
| Full Name | Thomas Kizy Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 329 Columbia St, Algonac, Michigan |
| Authorized Official Name and Position | Thomas Kizy (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8106713190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kizy Md Pllc Po Box 477 Algonac MI 48001-0477 Ph: (810) 720-5715 | Thomas Kizy Md Pllc 329 Columbia St Algonac MI 48001 Ph: (810) 671-3190 |
| NPI Number | 1457726770 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 4284937244 |
|---|---|
| Medicare Enrollment ID | O20160125002475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457726770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tae H Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952322703 PECOS PAC ID: 6305934217 Enrollment ID: I20071109000563 |
| Provider Name | Thomas T Kizy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457637506 PECOS PAC ID: 1951522499 Enrollment ID: I20141024002003 |
Tae Hong Chung, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Pointe Tremble Rd, Algonac, MI 48001 Phone: 810-794-9324 Fax: 810-794-0705 | |
Community First Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Saint Clair River Dr, Algonac, MI 48001 Phone: 810-794-4982 Fax: 810-794-4407 |