| Mark Vandermyde, | |
|
7901 Angling Rd, Portage, MI 49024-0714 | |
| (269) 324-8405 | |
| Not Available |
| Full Name | Mark Vandermyde |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7901 Angling Rd, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568543502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003052 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Vandermyde, 5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016 Ph: () - | Mark Vandermyde, 7901 Angling Rd, Portage, MI 49024-0714 Ph: (269) 324-8405 |
Gina Marie O'callaghan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Brittany Rose Doxey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Portage, MI 49024 Phone: 269-342-0196 | |
Madison Lynn Van Winkle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1151 W Milham Ave Unit 758, Portage, MI 49081 Phone: 516-710-0979 | |
Stephanie Sabater-geib, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Pamela Bartley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Brooke Osborne Boyd, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 | |
Therese A Birkam-jade, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6100 Newport Rd, Suite 100, Portage, MI 49002 Phone: 269-343-4679 Fax: 269-343-5929 |