| Leonhard J Maendel, PA | |
|
223 N Park St, Boyne City, MI 49712-1220 | |
| (231) 582-5314 | |
| (231) 582-5338 |
| Full Name | Leonhard J Maendel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 223 N Park St, Boyne City, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629138854 | NPI | - | NPPES |
| M32390011 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002674 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advisacare Solutions Of Northern Michigan, Llc | Charlevoix, MI | Home health agency |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Munson Healthcare Charlevoix Hospital | Charlevoix, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | 8325942535 | 126 |
| Munson Healthcare Charlevoix Hospital | 4284528035 | 57 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790867216 PECOS PAC ID: 4284528035 Enrollment ID: O20070109000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonhard J Maendel, PA 1105 Sixth St, Traverse City, MI 49684-2386 Ph: Not Available | Leonhard J Maendel, PA 223 N Park St, Boyne City, MI 49712-1220 Ph: (231) 582-5314 |
Anthony M Tabone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4379 Reycraft Rd, Boyne City, MI 49712 Phone: 231-622-2706 |