| Edward Kakish, DO | |
|
17717 Masonic, Fraser, MI 48026-3158 | |
| (586) 294-0600 | |
| Not Available |
| Full Name | Edward Kakish |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 17717 Masonic, Fraser, 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 |
|---|---|---|---|
| 1659326981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101012333 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Kakish, DO 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 | Edward Kakish, DO 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 |
Jodi Ralston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Daniel Wilkerson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Simon Katrib, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Ross Heller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Chad Michael Kovala, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 Fax: 586-294-2525 | |
Elizabeth Bascom, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Thaddeus Gasowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 |