| Mr Keith Edward Callewaert, RN | |
|
48301 Tonawonda Dr, Macomb, MI 48044 | |
| (586) 524-6757 | |
| Not Available |
| Full Name | Mr Keith Edward Callewaert |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 48301 Tonawonda Dr, Macomb, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558716894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704273227 (Michigan) | Primary |
| 146L00000X | Emergency Medical Technician, Paramedic | 3201011305 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rochester Medical Associates Pllc | 8729318704 | 23 |
| Eastside Group Llc | 4486790219 | 36 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 561 |
| Entity Name | Eastside Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624 |
| Entity Name | West Michigan Aas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Novi Aas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| Entity Name | Glps Staffing Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
| Entity Name | Rochester Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717 |
| Entity Name | Northstar Anesthesia of Michigan III PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Edward Callewaert, RN 48301 Tonawonda Dr, Macomb, MI 48044-5575 Ph: (586) 524-6757 | Mr Keith Edward Callewaert, RN 48301 Tonawonda Dr, Macomb, MI 48044 Ph: (586) 524-6757 |
Magdalena Sosnowski, GRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47362 Whippoorwill Dr, Macomb, MI 48044 Phone: 586-610-0385 |
Ms. Patricia E Holderness, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 17002 Sandstone Cir, Macomb, MI 48042 Phone: 586-781-9616 |
Amanda Marlene Oaks, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 46087 Rhodes Dr, Macomb, MI 48044 Phone: 586-489-1919 |
Caroline Lillian Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 46541 Twin City Trl, Macomb, MI 48044 Phone: 586-463-4085 |
Taylor Girvan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16367 Moore Park Rd, Macomb, MI 48044 Phone: 586-481-0922 |
Leon William Zech Jr., R.N., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19292 Scenic Harbor Dr, Macomb, MI 48044 Phone: 586-243-5355 |
Jordan Patrick Sharon, RN Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 47797 Concord Rd, Macomb, MI 48044 Phone: 586-899-7666 |