| Peter Earl David Kaczkofsky, DO | |
|
2221 Health Dr Sw, Wyoming, MI 49509 | |
| (616) 252-4410 | |
| (616) 252-4480 |
| Full Name | Peter Earl David Kaczkofsky |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 2221 Health Dr Sw, Wyoming, 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 |
|---|---|---|---|
| 1710089453 | NPI | - | NPPES |
| 1654101584 | Other | MI | BLUE CARE NETWORD |
| 4708195 | Medicaid | MI | |
| 4708275 | Medicaid | MI | |
| 4708005 | Medicaid | MI | |
| 1654101584 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4708168 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 012006 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metro Health Hospital | Wyoming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Hospital | 5597651836 | 382 |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Earl David Kaczkofsky, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9700 Ph: (616) 252-3243 | Peter Earl David Kaczkofsky, DO 2221 Health Dr Sw, Wyoming, MI 49509 Ph: (616) 252-4410 |
Dr. Jeffrey D. Postlewaite, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 781 36th St Se, Wyoming, MI 49548 Phone: 616-252-4100 Fax: 616-252-4953 | |
Steven John Lown, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49509 Phone: 616-252-4410 Fax: 616-252-4480 | |
Mary Beth Grey, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2221 Health Dr Sw, Wyoming, MI 49509 Phone: 616-532-5025 Fax: 616-532-6126 | |
Dr. Tracie Nicole Rulewicz, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-4410 Fax: 616-252-4480 | |
Dr. Katherine Kelly Hansul, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49519 Phone: 616-532-5025 Fax: 616-301-1915 | |
Stephanie Ann Getz, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-4410 Fax: 616-252-4480 | |
Dr. Maia Elise Sullivan, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7604 Fax: 616-252-0391 |