| Dr Kyle Matthew Waisanen, MD | |
|
932 Spring St Ste 101, Petoskey, MI 49770-2286 | |
| (231) 489-8298 | |
| (231) 489-8299 |
| Full Name | Dr Kyle Matthew Waisanen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 932 Spring St Ste 101, 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 |
|---|---|---|---|
| 1033616909 | NPI | - | NPPES |
| 118384100 | Medicaid | FL | |
| 4301513351 | Other | MI | MI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301513351 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Florida Home Care Inc | Fort myers, FL | Home health agency |
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1153 |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Matthew Waisanen, MD 932 Spring St Ste 101, Petoskey, MI 49770-2286 Ph: (231) 489-8298 | Dr Kyle Matthew Waisanen, MD 932 Spring St Ste 101, Petoskey, MI 49770-2286 Ph: (231) 489-8298 |
Emily R Stevens, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1619 Anderson Rd, Petoskey, MI 49770 Phone: 231-417-6000 Fax: 231-213-8750 | |
Dr. Howard Michael Topley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 405 N Division Rd Ste 2, Petoskey, MI 49770 Phone: 231-487-2270 |