Dr Richard D Kustasz, DO | |
463 East Circle Drive, East Lansing, MI 48824-1037 | |
(517) 884-6546 | |
(517) 432-9460 |
Full Name | Dr Richard D Kustasz |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 463 East Circle Drive, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720175466 | NPI | - | NPPES |
114424862 | Medicaid | MI | |
383218134 | Other | MI | TRICARE |
1015065 | Other | MI | MCLAREN |
1720175466 | Medicaid | MI | |
02017 | Other | MI | PRIORITY HEALTH PAY TO # |
4424862 | Other | MI | MOLINA |
200000002259 | Other | MI | PHPMM |
700C460070 | Other | MI | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101013047 (Michigan) | Primary |
Entity Name | Sparrow Ionia Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard D Kustasz, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Richard D Kustasz, DO 463 East Circle Drive, East Lansing, MI 48824-1037 Ph: (517) 884-6546 |
Dr. Fiel Ybanez Cunningham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Michael J Hafran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Christine A Blakeney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 Ramblewood Dr., Suite 100, East Lansing, MI 48823 Phone: 517-324-9400 Fax: 517-324-9482 | |
Dr. Cynthia A. Buchweitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Asher Ct, Suite 200, East Lansing, MI 48823 Phone: 517-337-8580 Fax: 517-337-8577 | |
Megan Quinlan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Julia Bowman Popenoe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
Dr. Robin Hazard Demuth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Suite A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742 |