| Dr Jeffrey Kenneth Chaulk, MD | |
|
350 W North St, Gaylord, MI 49735-1525 | |
| (989) 732-6455 | |
| (989) 732-1102 |
| Full Name | Dr Jeffrey Kenneth Chaulk |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 41 Years |
| Location | 350 W North St, Gaylord, 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 |
|---|---|---|---|
| 1710925334 | NPI | - | NPPES |
| 180012703 | Other | MI | RAILROAD MEDICARE |
| 1806920011 | Other | MI | BCBS |
| 0585020001 | Other | MA | ADMINASTAR FEDERAL |
| 3038315 | Medicaid | MI | |
| 0F94502001 | Other | MI | MEDICARE PLUS BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 4301405077 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jeffrey K Chaulk Md Pc | 6305947458 | 7 |
| Entity Name | Jeffrey K Chaulk Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215065727 PECOS PAC ID: 6305947458 Enrollment ID: O20070719000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Kenneth Chaulk, MD Po Box 1665, Gaylord, MI 49734-5665 Ph: (989) 732-6455 | Dr Jeffrey Kenneth Chaulk, MD 350 W North St, Gaylord, MI 49735-1525 Ph: (989) 732-6455 |
Kevin Bradley Lodewyk, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 | |
Joseph William Doe Iv, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 Fax: 989-732-1102 | |
Michael Louis Habryl, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 |