| Kellyann Vandendool, MD | |
|
7 Atkinson Dr Ste 200, Ludington, MI 49431-1917 | |
| (231) 843-3717 | |
| Not Available |
| Full Name | Kellyann Vandendool |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 7 Atkinson Dr Ste 200, Ludington, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366797615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301111681 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Medical Center Of West Michigan | 3678543659 | 44 |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellyann Vandendool, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Kellyann Vandendool, MD 7 Atkinson Dr Ste 200, Ludington, MI 49431-1917 Ph: (231) 843-3717 |
Dr. Bret Gregory Autrey, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Atkinson Dr Ste 200, Ludington, MI 49431 Phone: 231-843-3717 | |
Dr. Keith David Langlois, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Atkinson Dr Ste 200, Ludington, MI 49431 Phone: 231-843-3717 | |
Richard S York, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5 N Atkinson Dr, Suite 201, Ludington, MI 49431 Phone: 231-845-7732 Fax: 231-843-1190 | |
Nizar A Umran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5 Atkinson Dr Ste 205, Ludington, MI 49431 Phone: 231-843-3717 |