| Kevin A Kozicz, MD | |
|
1501 W Chisholm St, Alpena, MI 49707-1401 | |
| (989) 356-7390 | |
| (989) 356-8013 |
| Full Name | Kevin A Kozicz |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1501 W Chisholm St, Alpena, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629168489 | NPI | - | NPPES |
| 4471880 | Medicaid | MI | |
| 0500410122 | Other | MI | BCBS MICHIGAN |
| P00108494 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301072813 (Michigan) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin A Kozicz, MD 14476 Parallel Ave, Alpena, MI 49707-7988 Ph: () - | Kevin A Kozicz, MD 1501 W Chisholm St, Alpena, MI 49707-1401 Ph: (989) 356-7390 |
Vicki Kottong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Dr. David Randall Meinhardt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 | |
Robert J Coombs, D.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1063 Us 23 N, Alpena, MI 49707 Phone: 989-358-6824 | |
Mark P Kallaway, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-7794 | |
Teresa E Griffith, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Dr. Blake Wilson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7000 |