| David K Vandekieft, PA-C | |
|
419 S Coral St, Kalkaska, MI 49646-2503 | |
| (231) 258-7500 | |
| (231) 258-7527 |
| Full Name | David K Vandekieft |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 419 S Coral St, Kalkaska, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457567851 | NPI | - | NPPES |
| 1457567851 | Medicaid | ID | |
| 1457567851 | Medicaid | MT | |
| M011002915 | Other | MT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 20768 (Montana) | Secondary |
| 363A00000X | Physician Assistant | 183 (Wyoming) | Secondary |
| 363A00000X | Physician Assistant | 5601004449 (Michigan) | Primary |
| Entity Name | Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20040127001124 |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| David K Vandekieft, PA-C 419 S Coral St, Kalkaska, MI 49646-2503 Ph: (231) 258-7500 | David K Vandekieft, PA-C 419 S Coral St, Kalkaska, MI 49646-2503 Ph: (231) 258-7500 |
Marissa Fischer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 |
Mr. Jason T Hicks, PCC Physician Assistant Medicare: Medicare Enrolled Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 Fax: 231-258-7527 |
Craig Sheerin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7506 Fax: 231-258-7592 |
David Thomas Auer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 |
Ms. Christina Lynn Weasel Brege, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7791 |
Thomas A Minor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7506 Fax: 231-258-7592 |
Ms. Sharon Marie Van Tuyl, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7506 |