| Ann Koss, DO | |
|
1 N Atkinson Dr, Ludington, MI 49431-1906 | |
| (231) 845-2255 | |
| Not Available |
| Full Name | Ann Koss |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 1 N Atkinson Dr, Ludington, 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 |
|---|---|---|---|
| 1467488759 | NPI | - | NPPES |
| 300E310060 | Other | MI | BLUE CROSS |
| 4250478 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | AK011095 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health United Hospital | Greenville, MI | Hospital |
| Spectrum Health Pennock | Hastings, MI | Hospital |
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Radiology Services Pc | 4284546516 | 250 |
| Entity Name | Advanced Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
| Entity Name | Spartan Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Koss, DO 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 353-7339 | Ann Koss, DO 1 N Atkinson Dr, Ludington, MI 49431-1906 Ph: (231) 845-2255 |
Darin Gurizzian, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2255 |