Mr John Thomas Kallas, CRNA | |
900 Peeler St, Kalamazoo, MI 49008-2300 | |
(269) 345-8618 | |
(269) 345-1508 |
Full Name | Mr John Thomas Kallas |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 900 Peeler St, Kalamazoo, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578101937 | NPI | - | NPPES |
4704259318 | Other | MI | MI LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704259318 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704259318 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Mr John Thomas Kallas, CRNA 900 Peeler St, Kalamazoo, MI 49008-2300 Ph: (269) 345-8618 | Mr John Thomas Kallas, CRNA 900 Peeler St, Kalamazoo, MI 49008-2300 Ph: (269) 345-8618 |
Ochuko Andrew Oghor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 239-341-7654 | |
Anne Colonius, BSN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 | |
Tamara Heaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St Ste B, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Jessica R. Zoccoli, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Joseph Aikens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Sophia K Quartey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Emma Breen, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 |