Susan K Kasko (NPI# 1609219070, PAC ID# 6901030535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1609219070 |
| PAC ID by PECOS | 6901030535 |
| Professional Enrollment ID | I20161025002180 |
| Full Name | Susan K Kasko |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Address |
6701 Paw Paw Ave Coloma MI 49038-9519 |
| Phone Number | 2694633600 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416942750 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 6701 Paw Paw Ave, Coloma, MI 49038-9519 | 2694633600 | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Suzanne Nearpass | Internal Medicine | Lakeland Community Hospital Watervliet | 525 S Ctr St, Hartford, MI 49057-1362 |
| Michele Marie Brock | Nurse Practitioner | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Jennifer A Layman Young | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Jonathan Nykamp | Nurse Practitioner | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Michael P Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Jeffery T Postma | Orthopedic Surgery | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Carly K Reising | Physician Assistant | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Amanda Leigh Mills | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Sean W Sullivan | Family Medicine | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Matthew John Garno | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Street Address |
6701 PAW PAW AVE |
| City | COLOMA |
| State | MI |
| Zip | 49038-9519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Brandi A Smith | Nurse Practitioner | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Michael E Mayle | General Practice | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aurora Madanguit | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | |
| Donald Frederick Brooks | Cardiovascular Disease (cardiology) | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | |
| Jonathan Nykamp | Nurse Practitioner | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Carly K Reising | Physician Assistant | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Patrick Timothy Casey | Psychologist, Clinical | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Jeffery T Postma | Orthopedic Surgery | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| James Thomas Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Barbara Allyn Behling-rosa | Physical Medicine and Rehabilitation | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| William Jackson Jr. | Internal Medicine | Be Restored Inc | 1500 Friday Rd, Coloma, MI 49038-8958 |
| Raquel V Deleon | Nurse Practitioner | Be Restored Inc | 1500 Friday Rd, Coloma, MI 49038-8958 |
| Find all physicians in zip 49038 | |||
| City | COLOMA |
| Zip Code | 49038 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLOMA + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.