| Justine Marie Mangla, PA-C | |
|
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
| (734) 712-3456 | |
| Not Available |
| Full Name | Justine Marie Mangla |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 5301 Mcauley Dr, Ypsilanti, 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 |
|---|---|---|---|
| 1285129213 | NPI | - | NPPES |
| 1285129213 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4495 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Mercy Hospital | 3779489281 | 59 |
| Mailing Address | Practice Location Address |
|---|---|
| Justine Marie Mangla, PA-C 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 | Justine Marie Mangla, PA-C 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3456 |
Kurt J Hiester, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197 Phone: 734-434-4110 Fax: 734-434-1966 | |
Mr. Daniel Patrick Defer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-5609 | |
Mary E Mitchell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-995-3764 | |
Phillip John Villanueva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-8676 Fax: 734-712-3855 | |
Melissa Anne Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 877-336-6307 | |
Mrs. Alicia Lynn Robinson, MA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-623-0688 | |
Daniel Shonnard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Th Michigan Heart, 5325 Elliot Drive 2nd Floor, Ypsilanti, MI 48197 Phone: 734-712-8000 Fax: 734-712-8010 |