| Dr Kalub Alexander Fedak, MD | |
|
560 W Mitchell St Ste 185, Petoskey, MI 49770-2296 | |
| (231) 487-3390 | |
| (231) 487-3578 |
| Full Name | Dr Kalub Alexander Fedak |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 15 Years |
| Location | 560 W Mitchell St Ste 185, Petoskey, 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 |
|---|---|---|---|
| 1225353139 | NPI | - | NPPES |
| 1225353139 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301104179 (Michigan) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 4301104179 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Mackinac Straits Hospital And Health Center | Saint ignace, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Central Michigan | 6103733092 | 168 |
| Mclaren Northern Michigan | 9931018181 | 73 |
| Entity Name | Northern Michigan Hematology And Oncology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114028982 PECOS PAC ID: 2668386368 Enrollment ID: O20031117000821 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Mclaren Northern Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kalub Alexander Fedak, MD 560 W Mitchell St Ste 185, Petoskey, MI 49770-2296 Ph: (231) 487-3390 | Dr Kalub Alexander Fedak, MD 560 W Mitchell St Ste 185, Petoskey, MI 49770-2296 Ph: (231) 487-3390 |
Gary H Shaw, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313 | |
Dr. Janean Haggins-dabney, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271 | |
Dr. Vira C Heise, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
John L Diedrich, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
Dr. Peter E. Levanovich, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055 | |
Dr. Kim Aikens, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265 | |
Dr. Mark Alan Richmond, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2810 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-881-9054 Fax: 231-881-9052 |