| Carol Ann Pisarello, MD | |
|
4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | |
| (616) 391-5600 | |
| (616) 391-5685 |
| Full Name | Carol Ann Pisarello |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 48 Years |
| Location | 4444 Kalamazoo Ave Se, Kentwood, 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 |
|---|---|---|---|
| 1679577019 | NPI | - | NPPES |
| 4199910 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301071319 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Peachtree city, GA | Home health agency |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpha Internal Medicine Llc | 2961398185 | 4 |
| Entity Name | Alpha Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083622849 PECOS PAC ID: 2961398185 Enrollment ID: O20040225000321 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Ann Pisarello, MD 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 Ph: (616) 391-5600 | Carol Ann Pisarello, MD 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 Ph: (616) 391-5600 |
Kevin Mccormick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
James A. Geissler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
John N Campbell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508 Phone: 616-455-9450 Fax: 616-455-5221 | |
Michael T Stout, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
Pragyan Patro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 Phone: 616-391-5600 | |
Marcus G. Beversluis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 |