Dr Paul J Kovack, DO | |
2122 Health Dr Sw, Wyoming, MI 49519-9698 | |
(616) 252-5950 | |
(616) 252-5956 |
Full Name | Dr Paul J Kovack |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 28 Years |
Location | 2122 Health Dr Sw, Wyoming, 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 |
---|---|---|---|
1245221621 | NPI | - | NPPES |
060037412 | Other | MI | RAILROAD MEDICARE |
5101011064 | Other | MI | STATE LICENSE |
3222989 | Medicaid | MI | |
PK011064 | Other | MI | BSBCM PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 5101011064 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Metro Health Hospital | Wyoming, MI | Hospital |
Spectrum Health United Hospital | Greenville, MI | Hospital |
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Hospital | 5597651836 | 360 |
Entity Name | Metropolitan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul J Kovack, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243 | Dr Paul J Kovack, DO 2122 Health Dr Sw, Wyoming, MI 49519-9698 Ph: (616) 252-5950 |
Mark J Tieszen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. John Allen Key, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Tandy Champion, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4166 56th St Sw, Wyoming, MI 49418 Phone: 616-249-1850 Fax: 616-532-8657 |