| Dr Nathan Mandel Mollberg, DO | |
|
953 N 35th St, Galesburg, MI 49053-9727 | |
| (269) 305-7411 | |
| Not Available |
| Full Name | Dr Nathan Mandel Mollberg |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 19 Years |
| Location | 953 N 35th St, Galesburg, 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 |
|---|---|---|---|
| 1053601195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5101021356 (Michigan) | Primary |
| 208600000X | Surgery | 125.051876 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Greater Lansing | 7214833466 | 100 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Mclaren Greater Lansing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265600902 PECOS PAC ID: 7214833466 Enrollment ID: O20031217000526 |
| Entity Name | Mclaren Bay Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
| Entity Name | Mclaren Northern Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
| Entity Name | Mclaren Lapeer Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124151147 PECOS PAC ID: 8123000544 Enrollment ID: O20050730000017 |
| Entity Name | Mclaren Flint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Mandel Mollberg, DO 953 N 35th St, Galesburg, MI 49053-9727 Ph: () - | Dr Nathan Mandel Mollberg, DO 953 N 35th St, Galesburg, MI 49053-9727 Ph: (269) 305-7411 |