Mark R Aulicino, MD | |
4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | |
(231) 935-5770 | |
(231) 935-0747 |
Full Name | Mark R Aulicino |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 4100 Park Forest Dr, Traverse City, 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 |
---|---|---|---|
1558340737 | NPI | - | NPPES |
1558340737 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301057679 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Medical Center | Traverse city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munson Medical Group | 8820277015 | 139 |
Entity Name | Traverse Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013966506 PECOS PAC ID: 5597750091 Enrollment ID: O20040415000437 |
Entity Name | Munson Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
Mailing Address | Practice Location Address |
---|---|
Mark R Aulicino, MD 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 | Mark R Aulicino, MD 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 |
Brian M Kiessling, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Kamala Wright, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Raymond J Omerza, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Charles Kerndt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
David S Feenstra, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Dr. Donald E. Kring Jr., D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-5878 | |
Edward C Vomastek, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 |