Mark P Kallaway, MD | |
1501 W Chisholm St, Alpena, MI 49707-1401 | |
(989) 356-7390 | |
(989) 356-7794 |
Full Name | Mark P Kallaway |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1501 W Chisholm St, Alpena, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396835146 | NPI | - | NPPES |
P00108478 | Other | MI | MICHIGAN |
0500401082 | Other | MI | BCBS MICHIGAN |
4452025 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301070855 (Michigan) | Primary |
Entity Name | Insight Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952775975 PECOS PAC ID: 4486066297 Enrollment ID: O20201221001732 |
Mailing Address | Practice Location Address |
---|---|
Mark P Kallaway, MD 9750 Us Highway 23 N, Alpena, MI 49707-8948 Ph: () - | Mark P Kallaway, MD 1501 W Chisholm St, Alpena, MI 49707-1401 Ph: (989) 356-7390 |
Vicki Kottong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Sean M Rivard, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7284 Fax: 989-356-8013 | |
Dr. David Randall Meinhardt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 | |
Robert J Coombs, D.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1063 Us 23 N, Alpena, MI 49707 Phone: 989-358-6824 | |
Kevin A Kozicz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Teresa E Griffith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 |