| Mark A Kuriata, DO | |
|
300 E Maiden Ln, Saint Joseph, MI 49085-8516 | |
| (269) 429-7546 | |
| (269) 429-0807 |
| Full Name | Mark A Kuriata |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 300 E Maiden Ln, Saint Joseph, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033220637 | NPI | - | NPPES |
| 0A10115 | Other | MI | BCBSM GROUP |
| 0751100205 | Other | BLUE CROSS | |
| 350460011 | Medicaid | MI | |
| CG9582 | Other | MI | PALMETTO GBA GROUP |
| 1531892018 | Other | MI | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 5101012454 (Michigan) | Primary |
| Entity Name | Dermatology & Skin Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083649628 PECOS PAC ID: 2668467838 Enrollment ID: O20040416001331 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Kuriata, DO 300 E Maiden Ln, Saint Joseph, MI 49085-8516 Ph: (269) 429-7546 | Mark A Kuriata, DO 300 E Maiden Ln, Saint Joseph, MI 49085-8516 Ph: (269) 429-7546 |
Ms. Cailey Rooker, PA-C Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2900 Niles Rd, Saint Joseph, MI 49085 Phone: 269-428-5199 Fax: 269-428-5190 | |
Dr. Brittany Valk, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2570 Niles Rd, Saint Joseph, MI 49085 Phone: 269-321-7546 Fax: 269-321-1705 | |
Dr. Stephanie Freels, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2570 Niles Rd, Saint Joseph, MI 49085 Phone: 269-321-7546 Fax: 269-321-1705 |