| Ross Warren Kynast, MD | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 205-4800 | |
| (248) 893-6952 |
| Full Name | Ross Warren Kynast |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 205 N East Ave, Jackson, 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 |
|---|---|---|---|
| 1073141024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301513778 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Henry Ford Allegiance Health | Jackson, MI | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Emergency Physicians Pc | 6709798325 | 122 |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Independent Observation Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Iep Observation Medicine - Jackson Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982478251 PECOS PAC ID: 6800234592 Enrollment ID: O20240401000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Warren Kynast, MD 33333 W 12 Mile Rd Ste A, Farmington Hills, MI 48334-3312 Ph: (248) 536-2127 | Ross Warren Kynast, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-4800 |
Jonathan F. Bradley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 Fax: 517-796-6410 | |
Kevin Killian, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Deepa S Macha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976 | |
Jared Tippett, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 |