| Miranda Allen, DO | |
| 
					1009 44th St Sw Ste 101, Wyoming, MI 49509-4480  | |
| (616) 828-4622 | |
| (616) 635-2552 | 
| Full Name | Miranda Allen | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 1009 44th St Sw Ste 101, Wyoming, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154703577 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 5101021905 (Michigan) | Primary | 
| Entity Name | Allen Surgical Care Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275386948 PECOS PAC ID: 9335687151 Enrollment ID: O20240812002609  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miranda Allen, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5224  | Miranda Allen, DO 1009 44th St Sw Ste 101, Wyoming, MI 49509-4480 Ph: (616) 828-4622  | 
Dr. Antonia Jocelyn Henry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw Ste 302, Wyoming, MI 49519 Phone: 616-252-5775 Fax: 616-252-5269  | |
Karlin Edith Sevensma, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1009 44th St Sw Ste 101, Wyoming, MI 49509 Phone: 616-252-4100 Fax: 616-252-4953  | |
Dr. Eric J Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-456-5311 Fax: 616-456-7955  | |
Daniel K Borreson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-456-5311 Fax: 616-456-7955  | |
Shanna Brynne Williams, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-456-5311 Fax: 616-456-7955  | |
Joseph G Sage, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2093 Health Dr Sw, Suite 300, Wyoming, MI 49519 Phone: 616-532-8100 Fax: 616-532-8200  |