| Houssam Attal, MD | |
|
601 John St, Kalamazoo, MI 49007-5341 | |
| (269) 341-7654 | |
| Not Available |
| Full Name | Houssam Attal |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 38 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 |
|---|---|---|---|
| 1760478598 | NPI | - | NPPES |
| 4301067358 | Other | MI | MEDICAL LICENSE |
| 4933715 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301067358 (Michigan) | Secondary |
| 207ZC0500X | Pathology - Cytopathology | 4301067358 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patholgy Services Of Kalamazoo Pc | 0143123034 | 15 |
| Michigan Pathology Specialists Pc | 4789576414 | 32 |
| Entity Name | Patholgy Services Of Kalamazoo Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548243595 PECOS PAC ID: 0143123034 Enrollment ID: O20040128001118 |
| Entity Name | Michigan Pathology Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033193875 PECOS PAC ID: 4789576414 Enrollment ID: O20040327000041 |
| Entity Name | Urologic Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598865735 PECOS PAC ID: 2567457633 Enrollment ID: O20040417000532 |
| Entity Name | Michigan Urological Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586164 PECOS PAC ID: 4183694870 Enrollment ID: O20040729000832 |
| Entity Name | Urology Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467561480 PECOS PAC ID: 3072559863 Enrollment ID: O20050701000345 |
| Entity Name | Pathology Laboratory, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285618447 PECOS PAC ID: 7315957289 Enrollment ID: O20060424000158 |
| Entity Name | Urology Associates Pc Of Grand Rapids |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073536272 PECOS PAC ID: 5092783654 Enrollment ID: O20070425000514 |
| Entity Name | Consultants In Laboratory Medicine Of Greater Toledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982673372 PECOS PAC ID: 2860474459 Enrollment ID: O20070831000167 |
| Entity Name | Southwest Michigan Pathology Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467944181 PECOS PAC ID: 5496009433 Enrollment ID: O20181112000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Houssam Attal, MD 2620 Horizon Dr Se, 100, Grand Rapids, MI 49546-7520 Ph: (616) 530-3344 | Houssam Attal, MD 601 John St, Kalamazoo, MI 49007-5341 Ph: (269) 341-7654 |
Dr. Albert D Mason, MD Pathology Medicare: Medicare Enrolled Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7654 | |
Nicolas Alexander Kostelecky, MBBS Pathology Medicare: Medicare Enrolled Practice Location: 300 Portage St, Kalamazoo, MI 49007 Phone: 908-666-5797 | |
Dr. Kevin M. Herzog, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7654 | |
Dr. Andrew John Kobalka, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-7231 | |
Dr. William T Leeburg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7654 | |
William J Walter, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-7000 | |
Dr. William P Walker, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 692-267-2312 |