| Dr Ed Adel Itawi, MD | |
|
601 John St, Suite M302, Kalamazoo, MI 49007-5341 | |
| (269) 341-4890 | |
| (269) 341-4889 |
| Full Name | Dr Ed Adel Itawi |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 22 Years |
| Location | 601 John St, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366645574 | NPI | - | NPPES |
| 1366645574 | Medicaid | MI | |
| 1417961137 | Other | MI | BCBS - BRONSON |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgeons Pc | 6002956265 | 15 |
| Bronson Methodist Hospital | 0244148633 | 722 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Bronson Lakeview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
| Entity Name | Bronson Lakeview Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962508259 PECOS PAC ID: 9032008495 Enrollment ID: O20080516000276 |
| Entity Name | Acute Care Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ed Adel Itawi, MD 601 John St, Suite M302, Kalamazoo, MI 49007-5341 Ph: (269) 341-4890 | Dr Ed Adel Itawi, MD 601 John St, Suite M302, Kalamazoo, MI 49007-5341 Ph: (269) 341-4890 |