| Dr Mark Fender, MD | |
|
500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | |
| (906) 635-4390 | |
| Not Available |
| Full Name | Dr Mark Fender |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 500 Osborn Blvd, Sault Sainte Marie, 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 |
|---|---|---|---|
| 1447205539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301065200 (Michigan) | Primary |
| 174400000X | Specialist | 4301065200 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Macatawa Anesthesia Pc | 4183682883 | 23 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Entity Name | Macatawa Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942242136 PECOS PAC ID: 4183682883 Enrollment ID: O20041228000770 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710735287 PECOS PAC ID: 3072426287 Enrollment ID: O20250131002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Fender, MD 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (517) 787-6440 | Dr Mark Fender, MD 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 Ph: (906) 635-4390 |
James Joseph Kelly, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4390 | |
Dr. Andrew Alshab, MD MPH Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4460 |