Ksk Medical Pllc is a medicare enrolled primary clinic (General Practice) in Manitou Beach, Michigan. The current practice location for Ksk Medical Pllc is 6300 Winter Rd, Manitou Beach, Michigan. For appointments, you can reach them via phone at
(517) 306-2244. The mailing address for Ksk Medical Pllc is 6300 Winter Rd, Manitou Beach, Michigan and phone number is (517) 306-2244.
Ksk Medical Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1043832801. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(517) 306-2244.
Primary Care Clinic Profile
| Full Name | Ksk Medical Pllc |
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| Speciality | General Practice |
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| Location | 6300 Winter Rd, Manitou Beach, Michigan |
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| Authorized Official Name and Position | Robyn M Jones (BUSINESS MANAGER) |
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| Authorized Official Contact | 5173062244 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ksk Medical Pllc
6300 Winter Rd
Manitou Beach
MI 49253-9634
Ph: (517) 306-2244 | Ksk Medical Pllc
6300 Winter Rd
Manitou Beach
MI 49253-9634
Ph: (517) 306-2244 |
NPI Details:
| NPI Number | 1043832801 |
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| Provider Enumeration Date | 05/14/2020 |
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| Last Update Date | 05/14/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7113341389 |
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| Medicare Enrollment ID | O20200721002032 |
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Medical Identifiers
Medical identifiers for Ksk Medical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043832801 | NPI | - | NPPES |
| 2426860 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ksk Medical Pllc acts as a billing entity for following providers:
| Provider Name | Kevin S Kendzierski |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1629053681
PECOS PAC ID: 9739142837
Enrollment ID: I20041110000010 |
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