| John Michael Kosta, MD | |
|
655 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8622 | |
| (616) 575-1212 | |
| (616) 575-1219 |
| Full Name | John Michael Kosta |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 655 Kenmoor Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184642951 | NPI | - | NPPES |
| 0D11035 | Other | MI | BLUE CROSS BLUE SHIELD |
| 40004194 | Other | MI | RAILROAD MEDICARE |
| 1822580 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | JK046253 (Michigan) | Primary |
| Entity Name | Grand Rapids Ear Nose & Throat Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124052337 PECOS PAC ID: 0547332751 Enrollment ID: O20080703000320 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Kosta, MD 655 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8622 Ph: (616) 575-1212 | John Michael Kosta, MD 655 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8622 Ph: (616) 575-1212 |
James D Thompson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-7758 | |
Veronique Wan Fook Cheung, MDCM, FRCSC Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503 Phone: 616-267-7758 Fax: 616-267-7290 | |
Chad Afman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546 Phone: 616-267-7758 Fax: 616-267-7290 | |
Dr. Kristina M Manion, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-5760 | |
Maraya Baumanis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 219-308-7409 | |
Dr. Javier Howard, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-5760 |