| Wayne Prokott, DO | |
|
30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | |
| (248) 258-5058 | |
| Not Available |
| Full Name | Wayne Prokott |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 30200 Telegraph Rd, Bingham Farms, 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 |
|---|---|---|---|
| 1972560092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4901060883 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Services Associates Pc | 4385557602 | 67 |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| Entity Name | Anesthesia Services Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Prokott, DO 8419 Misty Mdws, Grand Blanc, MI 48439-7428 Ph: () - | Wayne Prokott, DO 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058 |
James Bandy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Katherine Brege-biland, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Jane Andrea Smith, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 313-258-5058 | |
Fernando Medina, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Jeffrey Johnson, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Marion Ozbun, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Kathryn Martino-pierce, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 |