Dr Steve Kujacznski, DO | |
261 M 62, Cassopolis, MI 49031-1034 | |
(269) 445-3874 | |
(269) 445-2076 |
Full Name | Dr Steve Kujacznski |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 261 M 62, Cassopolis, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689625469 | NPI | - | NPPES |
111835668 | Medicaid | MI | |
1804311-11 | Medicaid | MI | |
114156529 | Medicaid | MI | |
SK008922 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101008922 (Michigan) | Secondary |
207Q00000X | Family Medicine | 5101008922 (Michigan) | Primary |
Entity Name | Three Rivers Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
Mailing Address | Practice Location Address |
---|---|
Dr Steve Kujacznski, DO 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 | Dr Steve Kujacznski, DO 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 |
Dr. Mark W Lay, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 S Broadway St, Cassopolis, MI 49031 Phone: 269-445-0771 | |
Dr. Gina Laraine Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 | |
Dr. Neil R See, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 | |
Mr. Harris Ayub Shaikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 | |
Sabrina Cole, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 694-453-8742 | |
Elizabeth A Wetzel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-1930 |