| Angela Michelle Hannah, PA-C | |
|
78 N Division St, Hesperia, MI 49421-5100 | |
| (231) 854-6415 | |
| (231) 854-6975 |
| Full Name | Angela Michelle Hannah |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 78 N Division St, Hesperia, 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 |
|---|---|---|---|
| 1679908552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006764 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Gerber Hospital | Fremont, MI | Hospital |
| Corewell Health Ludington Hospital | Ludington, MI | Hospital |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Medical Center Of West Michigan | 3678543659 | 62 |
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Visionary Medical Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
| 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 |
| Entity Name | Northern Lights Family Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528207560 PECOS PAC ID: 5799832309 Enrollment ID: O20090420000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Michelle Hannah, PA-C 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: Not Available | Angela Michelle Hannah, PA-C 78 N Division St, Hesperia, MI 49421-5100 Ph: (231) 854-6415 |