| Andrea Mantel, | |
|
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | |
| (616) 284-3132 | |
| Not Available |
| Full Name | Andrea Mantel |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 3333 Evergreen Dr Ne, Grand Rapids, 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 |
|---|---|---|---|
| 1205454998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Spectrum Health Zeeland Community Hospital | Zeeland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Michigan Anesthesia Pc | 1355243551 | 181 |
| Anesthesia Medical Consultants, Pc | 3678751658 | 89 |
| Entity Name | West Michigan Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018 |
| Entity Name | Anesthesia Medical Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Mantel, 603 Parkwood St Ne, Grand Rapids, MI 49503-3413 Ph: () - | Andrea Mantel, 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 284-3132 |
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: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 | |
Meghan Fowler, Anesthesiologist Assistant Medicare: Accepting 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 | |
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 |