| Mark A Kalt, DO | |
|
11800 E 12 Mile Rd, Warren, MI 48093-3472 | |
| (586) 573-5260 | |
| Not Available |
| Full Name | Mark A Kalt |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 11800 E 12 Mile Rd, Warren, 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 |
|---|---|---|---|
| 1316980808 | NPI | - | NPPES |
| 2973453-11 | Medicaid | MI | |
| 0555021645 | Other | MI | BCBS |
| 3405058-11 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101010586 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Straith Hospital For Special Surgery | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Straith Hospital For Special Surgery | 1153210067 | 11 |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| Entity Name | Anesthesia Services Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
| Entity Name | Straith Hospital For Special Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548268436 PECOS PAC ID: 1153210067 Enrollment ID: O20040310001337 |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Eastside Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Kalt, DO 7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462 Ph: () - | Mark A Kalt, DO 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260 |
Kathy Schlecht, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28120 Dequindre Rd, Warren, MI 48092 Phone: 586-573-0709 | |
Samuel D Manalo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Horacio G Lardo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Charles F Mckolay, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093 Phone: 586-573-5260 | |
Jason Zatkoff, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11012 E 13 Mile Rd Ste 112a, Warren, MI 48093 Phone: 586-751-9800 | |
Philip J Zink, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Dr. Kondraganti P Rao, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 28111 Hoover, Warren, MI 48093 Phone: 586-573-0589 Fax: 586-573-3861 |