Individual ProviderThomas RountreeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address500 Kirts Blvd, Troy, MI 48084(248) 824-6060PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Rountree is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1679960777Provider TypeIndividualFull NameRountree, ThomasGenderMaleSole ProprietorNoEnumeration Date4/16/2015Last Updated7/15/2019Contact InformationPractice LocationPractice Address500 Kirts Blvd, Troy, MI 48084Phone(248) 824-6060FaxUnlisted FaxMailing LocationMailing Address500 Kirts Blvd, Troy, MI 48084-4134Phone(248) 824-6060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense5101022068MichiganCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer