| Dr Kourosh Baghelai, MD | |
|
2500 Niles Rd Ste 6, Saint Joseph, MI 49085-3268 | |
| (269) 408-1660 | |
| (269) 408-1665 |
| Full Name | Dr Kourosh Baghelai |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 31 Years |
| Location | 2500 Niles Rd Ste 6, Saint Joseph, 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 |
|---|---|---|---|
| 1366434987 | NPI | - | NPPES |
| 104638715 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 4301084433 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Homecare | Benton harbor, MI | Home health agency |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Hospitals At Niles And St Joseph, Inc | 7517929037 | 123 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kourosh Baghelai, MD 2500 Niles Rd Ste 6, Saint Joseph, MI 49085-3268 Ph: (269) 408-1660 | Dr Kourosh Baghelai, MD 2500 Niles Rd Ste 6, Saint Joseph, MI 49085-3268 Ph: (269) 408-1660 |
Charles Raymer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085 Phone: 269-556-6000 | |
Dr. Allison Cristine Vaughan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-429-0900 | |
Stephen Francis Komara, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996 | |
Dr. Nathan E Piovesan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-429-0900 | |
Dennis Allen Rasbach, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2990 Niles Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758 | |
Dr. Roy E Winslow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-429-0900 |