Gordon Kalo, CRNA | |
200 Hemlock St, Tawas City, MI 48763-9237 | |
(989) 362-0153 | |
(989) 362-4683 |
Full Name | Gordon Kalo |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 43 Years |
Location | 200 Hemlock St, Tawas 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 |
---|---|---|---|
1063496867 | NPI | - | NPPES |
4096233 | Medicaid | MI | |
C56007027 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704120512 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mymichigan Medical Center Alpena | 8527969922 | 82 |
Entity Name | Mymichigan Medical Center Alpena |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770667149 PECOS PAC ID: 8527969922 Enrollment ID: O20040226000605 |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
Entity Name | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Mailing Address | Practice Location Address |
---|---|
Gordon Kalo, CRNA 2393 Schust Rd, Saginaw, MI 48603-1334 Ph: (989) 793-2820 | Gordon Kalo, CRNA 200 Hemlock St, Tawas City, MI 48763-9237 Ph: (989) 362-0153 |
Sherry Donovan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-0153 Fax: 989-362-4683 | |
Keith Lawrence, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-9405 | |
Neal Mason, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-3411 |