| Mr Michael D Coulson, DO | |
|
1 Kish Hospital Drive, Dekalb, IL 60115-9602 | |
| (815) 756-1521 | |
| (815) 748-8395 |
| Full Name | Mr Michael D Coulson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 1 Kish Hospital Drive, Dekalb, Illinois |
| 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 |
|---|---|---|---|
| 1255338554 | NPI | - | NPPES |
| 036077834 | Medicaid | IL | |
| 050082135 | Other | IL | RAILROAD MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Valley West Community Hospital | Sandwich, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates, Ltd | 2961303425 | 48 |
| Entity Name | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | Valley Pain Care Centers, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Coulson, DO 1 Kish Hospital Drive, Dekalb, IL 60115-9602 Ph: (815) 756-1521 | Mr Michael D Coulson, DO 1 Kish Hospital Drive, Dekalb, IL 60115-9602 Ph: (815) 756-1521 |
Mr. Sridhar Chigurupati, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032 | |
David J Nowak, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3319 Meadow Trl W, Dekalb, IL 60115 Phone: 815-758-3636 | |
Connie M Bruch-harrison, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-8395 | |
James A Dionisopoulos, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-8395 | |
Jerry T Metcalf, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-748-8993 | |
Jacob Michael Szafranski, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032 |