| Dr Stephen Todd Wysong, MD | |
|
601 John St, Suite M-283, Kalamazoo, MI 49007-5341 | |
| (269) 349-7696 | |
| (269) 349-0610 |
| Full Name | Dr Stephen Todd Wysong |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 601 John St, Kalamazoo, 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 |
|---|---|---|---|
| 1013952985 | NPI | - | NPPES |
| 3279453-10 | Medicaid | MI | |
| 3403903000 | Other | MI | BCBS IND PIN |
| 112048 | Other | GREAT LAKES HLTH PLN | |
| 5898515 | Other | AETNA PIN | |
| 020C91020 | Other | MI | BCBS GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301058092 (Michigan) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 4301058092 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson Methodist Hospital | 0244148633 | 657 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Todd Wysong, MD 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 349-7696 | Dr Stephen Todd Wysong, MD 601 John St, Suite M-283, Kalamazoo, MI 49007-5341 Ph: (269) 349-7696 |
Dr. Kibwe Akin Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-488-1524 Fax: 269-488-1655 | |
Dr. Krishna Mohan Jain, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1815 Henson Ave, Kalamazoo, MI 49048 Phone: 269-492-6500 Fax: 269-492-6461 | |
Dr. David Brandon Minnick, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-349-7696 Fax: 269-488-8313 | |
Marc Thomas Downing, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 John St, Suite M351, Kalamazoo, MI 49007 Phone: 269-341-6900 Fax: 269-341-7883 | |
Jason Thomas Ryan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1535 Gull Rd Ste 20, Kalamazoo, MI 49048 Phone: 269-381-4577 | |
James Bailey Babel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048 Phone: 269-343-9113 Fax: 269-343-0510 |