Dr Kenneth M Brennan, MD | |
125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | |
(269) 343-3900 | |
(269) 343-5640 |
Full Name | Dr Kenneth M Brennan |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 125 S Kalamazoo Mall, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043251614 | NPI | - | NPPES |
10/2746876 | Medicaid | MI | |
10/4686937 | Medicaid | MI | |
10/2737966 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301057885 (Michigan) | Primary |
Entity Name | Southwestern Michigan Emergency Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth M Brennan, MD 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 Ph: (269) 343-3900 | Dr Kenneth M Brennan, MD 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 Ph: (269) 343-3900 |
Nicole Catherine Carpp, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Dr. Brannon Charles Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008 Phone: 269-343-3900 Fax: 269-343-5640 | |
Abigail Munro Harrelson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Dr. Charles Moore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048 Phone: 269-226-6933 Fax: 269-226-6949 | |
Dr. Jonathan Ross Dadurian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall, Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Jason Andrew Garner, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Nicholas Dyga, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 |