| Lauren Mankivsky, PHYSICIAN ASSISTANT | |
|
100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 | |
| (616) 267-7301 | |
| (616) 391-3044 |
| Full Name | Lauren Mankivsky |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 100 Michigan St Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215348537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007081 (Michigan) | Primary |
| Entity Name | Advanced Radiology Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
| Entity Name | Mecosta County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386693471 PECOS PAC ID: 1951215540 Enrollment ID: O20031118000335 |
| 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 | Reed City Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831253798 PECOS PAC ID: 6406740695 Enrollment ID: O20040210000104 |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Entity Name | Spectrum Health United |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457304495 PECOS PAC ID: 6305836487 Enrollment ID: O20040612000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Mankivsky, PHYSICIAN ASSISTANT 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243 | Lauren Mankivsky, PHYSICIAN ASSISTANT 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Ph: (616) 267-7301 |
Justin Michael Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525 Phone: 616-459-7101 |
Alexandra Bengel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503 Phone: 616-267-8540 |
Tabetha Emily Bergeron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4069 Lake Dr Se, Grand Rapids, MI 49546 Phone: 616-267-7469 |
Emily Elizabeth Zecic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 68th St Se, Grand Rapids, MI 49548 Phone: 616-391-8242 |
Mr. Ethan J Lacourt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-7900 Fax: 616-267-7901 |
Megan Rachelle Vanderkamp, Physician Assistant Medicare: Medicare Enrolled Practice Location: 119 Prospect Ave Ne, Grand Rapids, MI 49503 Phone: 616-826-3174 |
Gavin O'brien, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-272-3533 Fax: 616-259-4839 |