| Anita Irene Charochak, DO | |
|
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
| (616) 252-7200 | |
| (616) 252-6239 |
| Full Name | Anita Irene Charochak |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 39 Years |
| Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760484869 | NPI | - | NPPES |
| 4846754 | Medicaid | MI | |
| AC010442 | Other | MI | BCBSM |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Florida Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Consortium Inc | 0244269413 | 444 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883 |
| Entity Name | Appleton Intensivist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407411796 PECOS PAC ID: 5193149771 Enrollment ID: O20200716001495 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Irene Charochak, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243 | Anita Irene Charochak, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200 |
Mark J Tieszen, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. Heidi Lynn Putt, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 | |
Dr. John Allen Key, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 |