| Kevin Bradley Lodewyk, MD | |
|
350 W North St, Gaylord, MI 49735-1525 | |
| (989) 732-6455 | |
| Not Available |
| Full Name | Kevin Bradley Lodewyk |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 8 Years |
| Location | 350 W North St, Gaylord, 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 |
|---|---|---|---|
| 1255851952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 4301112664 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301506618 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jeffrey K Chaulk Md Pc | 6305947458 | 7 |
| Entity Name | Jeffrey K Chaulk Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215065727 PECOS PAC ID: 6305947458 Enrollment ID: O20070719000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Bradley Lodewyk, MD Po Box 1665, Gaylord, MI 49734-5665 Ph: (989) 732-6455 | Kevin Bradley Lodewyk, MD 350 W North St, Gaylord, MI 49735-1525 Ph: (989) 732-6455 |
Joseph William Doe Iv, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 Fax: 989-732-1102 | |
Michael Louis Habryl, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 | |
Dr. Jeffrey Kenneth Chaulk, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 W North St, Gaylord, MI 49735 Phone: 989-732-6455 Fax: 989-732-1102 |