| Mr Kevin Sistani, AA | |
|
100 Michigan St Ne, Grand Rapids, MI 49503 | |
| (616) 364-4200 | |
| (616) 364-7347 |
| Full Name | Mr Kevin Sistani |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 7 Years |
| Location | 100 Michigan St Ne, Grand Rapids, 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 |
|---|---|---|---|
| 1659834562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 28513167 (Michigan) | Primary |
| 367H00000X | Anesthesiologist Assistant | (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sibley Memorial Hospital | Washington, DC | Hospital |
| Southeast Michigan Surgical Hospital Llc | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Anesthesia Pllc | 0143538769 | 12 |
| Surgical Anesthesia Associates Pllc | 5890739205 | 91 |
| Entity Name | Jawad A Shah, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798 |
| Entity Name | Alliance Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Sistani, AA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Mr Kevin Sistani, AA 100 Michigan St Ne, Grand Rapids, MI 49503 Ph: (616) 364-4200 |
Mr. Jeffrey Ryan Hall, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Jason Dipman, AA-C Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 | |
Meghan Fowler, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Ms. Loredana Berkowitz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Andrea Mantel, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-284-3132 | |
Camille Meadows, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347 | |
Mr. Lonnie Meadows, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347 |