| Gordon Kalo, CRNA | |
|
200 Hemlock St, Tawas City, MI 48763-9237 | |
| (989) 362-0153 | |
| (989) 362-4683 |
| Full Name | Gordon Kalo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 200 Hemlock St, Tawas City, 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 |
|---|---|---|---|
| 1063496867 | NPI | - | NPPES |
| 4096233 | Medicaid | MI | |
| C56007027 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704120512 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Alpena | 8527969922 | 96 |
| Entity Name | Mymichigan Medical Center Alpena |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770667149 PECOS PAC ID: 8527969922 Enrollment ID: O20040226000605 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Kalo, CRNA 2393 Schust Rd, Saginaw, MI 48603-1334 Ph: (989) 793-2820 | Gordon Kalo, CRNA 200 Hemlock St, Tawas City, MI 48763-9237 Ph: (989) 362-0153 |
Sherry Donovan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-0153 Fax: 989-362-4683 | |
Keith Lawrence, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-9405 | |
Neal Mason, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-3411 |