Dr Bobby Kipak Kong, MD | |
5325 Elliott Dr, Suite # 102, Ypsilanti, MI 48197-8633 | |
(734) 712-5500 | |
(734) 712-8209 |
Full Name | Dr Bobby Kipak Kong |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 41 Years |
Location | 5325 Elliott Dr, Ypsilanti, 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 |
---|---|---|---|
1013943083 | NPI | - | NPPES |
4826911 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | BK057809 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Home Care | Traverse city, MI | Home health agency |
Munson Medical Center | Traverse city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munson Medical Center | 3072426287 | 262 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Munson Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
Entity Name | Cardiothoracic Surgeons Of G.t. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679797195 PECOS PAC ID: 0941236525 Enrollment ID: O20080404000647 |
Mailing Address | Practice Location Address |
---|---|
Dr Bobby Kipak Kong, MD 5325 Elliott Dr, Suite # 102, Ypsilanti, MI 48197-8633 Ph: (734) 712-5500 | Dr Bobby Kipak Kong, MD 5325 Elliott Dr, Suite # 102, Ypsilanti, MI 48197-8633 Ph: (734) 712-5500 |
Dr. Melanie Andene Edwards, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr Ste 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 | |
Dr. Manak Sood, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 | |
Dr. Andrew Lee Pruitt, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 | |
Mahmoud Farhat, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 |