Dr Prem Barry Kissoondial, MD | |
2591 S Leaton Rd, Mount Pleasant, MI 48858-8421 | |
(989) 775-4600 | |
(989) 775-4680 |
Full Name | Dr Prem Barry Kissoondial |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 2591 S Leaton Rd, Mount Pleasant, 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 |
---|---|---|---|
1437246451 | NPI | - | NPPES |
010C760120 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
1437246451 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301066299 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-clare | Clare, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saginaw Chippewa Indian Tribe | 8820068893 | 6 |
Entity Name | Saginaw Chippewa Indian Tribe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649368457 PECOS PAC ID: 8820068893 Enrollment ID: O20040728000012 |
Mailing Address | Practice Location Address |
---|---|
Dr Prem Barry Kissoondial, MD 2591 S Leaton Rd, Mount Pleasant, MI 48858-8421 Ph: (989) 775-4600 | Dr Prem Barry Kissoondial, MD 2591 S Leaton Rd, Mount Pleasant, MI 48858-8421 Ph: (989) 775-4600 |
Kristen Taylor, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2480 Rosewood N, Mount Pleasant, MI 48858 Phone: 989-775-3823 | |
Terry Florian Nowak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4273 Corporate Dr, Mount Pleasant, MI 48858 Phone: 989-953-4357 Fax: 989-953-4358 | |
Dr. Julie M Stevens, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 N Mission, Mount Pleasant, MI 48858 Phone: 989-773-3789 Fax: 989-773-6677 | |
Dr. Simeen Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4851 E Pickard St Ste 1760, Mount Pleasant, MI 48858 Phone: 989-775-1610 | |
Crystal Lee Holley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2790 Health Pkwy, Mount Pleasant, MI 48858 Phone: 989-953-5320 | |
Lena Widman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4851 E Pickard St, Mount Pleasant, MI 48858 Phone: 989-775-1610 Fax: 989-775-1640 |