| Ksenia Koltun, MD | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-5000 | |
| Not Available |
| Full Name | Ksenia Koltun |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 14 Years |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609161231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 31106 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 4301098662 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 4301503468 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Ksenia Koltun, MD 3810 Carriage Rd, Bloomfield Hills, MI 48301-1900 Ph: (847) 208-8818 | Ksenia Koltun, MD 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
Sharon M Schafer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5741 Folkstone Dr, Troy, MI 48085 Phone: 248-879-6246 | |
Dr. Neshan V Ohanian, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1719 W Big Beaver Rd, Troy, MI 48084 Phone: 248-458-0400 Fax: 248-458-0310 | |
Dr. Moumen Asbahi, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1719 W Big Beaver Rd, Troy, MI 48084 Phone: 248-458-0400 | |
Dr. Aaron Andrew Glaeser, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4550 Investment Dr Ste 100, Troy, MI 48098 Phone: 248-265-4611 | |
Achir Ahmad Alalami, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2404 Dorchester Dr N Apt 103, Troy, MI 48084 Phone: 248-275-6281 | |
Dr. Yusaf Ahmed, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Mr. Jason Ronald Haus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1719 W. Big Beaver, Troy, MI 48084 Phone: 248-458-0400 Fax: 248-458-0310 |