Toledo Clinic Incorporated - Medicare Primary Care in Monroe, MI

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Toledo Clinic Incorporated is a medicare enrolled primary clinic (Internal Medicine) in Monroe, Michigan. The current practice location for Toledo Clinic Incorporated is 800 Stewart Rd, Suite B, Monroe, Michigan. For appointments, you can reach them via phone at (734) 242-7902. The mailing address for Toledo Clinic Incorporated is 4235 Secor Rd, Toledo, Ohio and phone number is (419) 473-3561.

Toledo Clinic Incorporated is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1669423455. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (734) 242-7902.

Contact Information

Toledo Clinic Incorporated
800 Stewart Rd
Suite B
Monroe
MI 48162-4226
(734) 242-7902
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameToledo Clinic Incorporated
SpecialityInternal Medicine
Location800 Stewart Rd, Monroe, Michigan
Authorized Official Name and PositionTom Sylak (CHIEF OPERATING OFFICER)
Authorized Official Contact4194733561
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toledo Clinic Incorporated
4235 Secor Rd
Toledo
OH 43623

Ph: (419) 473-3561		Toledo Clinic Incorporated
800 Stewart Rd
Suite B
Monroe
MI 48162-4226

Ph: (734) 242-7902

NPI Details:

NPI Number1669423455
Provider Enumeration Date05/15/2006
Last Update Date01/12/2024
Certification Date01/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5698673382
Medicare Enrollment IDO20040617001265

Medical Identifiers

Medical identifiers for Toledo Clinic Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669423455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary
207RH0003XInternal Medicine - Hematology & Oncology ()Secondary
2084N0400XPsychiatry & Neurology - Neurology ()Secondary
291U00000XClinical Medical Laboratory ()Secondary
332B00000XDurable Medical Equipment & Medical Supplies ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Toledo Clinic Incorporated acts as a billing entity for following providers:
Provider NameTimothy C Kasunic
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1013975903
PECOS PAC ID: 2769494095
Enrollment ID: I20060717000015
Provider NameDavid J Kouba
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1073561866
PECOS PAC ID: 3173512233
Enrollment ID: I20070823000469
Provider NameDavid Brown
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710985361
PECOS PAC ID: 1951324789
Enrollment ID: I20090204000084
Provider NameKimberly Marie Bushrow
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154319820
PECOS PAC ID: 7810935236
Enrollment ID: I20090529000457
Provider NameRex B Mowat
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346247251
PECOS PAC ID: 1456374404
Enrollment ID: I20120202000085
Provider NameCharu Trivedi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1386641397
PECOS PAC ID: 3971526914
Enrollment ID: I20120208000880
Provider NameRichard C Phinney
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215192703
PECOS PAC ID: 5496892887
Enrollment ID: I20121012000759
Provider NameShaili J Desai
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1285845578
PECOS PAC ID: 8921245432
Enrollment ID: I20140523001561
Provider NameAlicia Wohlfarth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770950867
PECOS PAC ID: 5890002158
Enrollment ID: I20160621001576
Provider NameMohsin Reza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043604135
PECOS PAC ID: 2769797109
Enrollment ID: I20180716001863
Provider NameMelinda S Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164946612
PECOS PAC ID: 3274809165
Enrollment ID: I20190410001291
Provider NameDanielle Goodell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841755329
PECOS PAC ID: 0446667117
Enrollment ID: I20210428002594
Provider NameMohammad Rashid
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1477545655
PECOS PAC ID: 0244263101
Enrollment ID: I20210519002836
Provider NameAllison Kouba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316065998
PECOS PAC ID: 6103963475
Enrollment ID: I20220202001296
Provider NameHolly Ruttan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194278705
PECOS PAC ID: 8729375803
Enrollment ID: I20220420001429
Provider NameJudith Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548746019
PECOS PAC ID: 6507110004
Enrollment ID: I20220725003152
Provider NameEmily Niese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528781465
PECOS PAC ID: 1850768565
Enrollment ID: I20221117001872
Provider NameMary Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912536137
PECOS PAC ID: 2961809868
Enrollment ID: I20230125003307
Provider NameAshley Wilhelm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144803693
PECOS PAC ID: 9830598820
Enrollment ID: I20230131001499
Provider NameMary Wernet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588003248
PECOS PAC ID: 9537303540
Enrollment ID: I20240226003946
Provider NameMuneeb Ilyas
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1659876308
PECOS PAC ID: 5799158697
Enrollment ID: I20240717002236
Provider NameMadison Masters
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1477120426
PECOS PAC ID: 2961890785
Enrollment ID: I20241009002773

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.