| Mark P Kallaway, MD | |
|
1501 W Chisholm St, Alpena, MI 49707-1401 | |
| (989) 356-7390 | |
| (989) 356-7794 |
| Full Name | Mark P Kallaway |
|---|---|
| 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 |
|---|---|---|---|
| 1396835146 | NPI | - | NPPES |
| P00108478 | Other | MI | MICHIGAN |
| 0500401082 | Other | MI | BCBS MICHIGAN |
| 4452025 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301070855 (Michigan) | Primary |
| Entity Name | Insight Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952775975 PECOS PAC ID: 4486066297 Enrollment ID: O20201221001732 |
| Entity Name | House Mds PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790411221 PECOS PAC ID: 9830572312 Enrollment ID: O20220816001849 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Kallaway, MD 9750 Us Highway 23 N, Alpena, MI 49707-8948 Ph: Not Available | Mark P Kallaway, 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 |
Kevin A Kozicz, 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 |
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 |
Kerwin T Farmer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 800-968-6866 Fax: 616-532-7230 |