| Michelle Hartle, PA-C | |
|
125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | |
| (269) 343-3900 | |
| Not Available |
| Full Name | Michelle Hartle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 125 S Kalamazoo Mall Ste 204, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477072635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601008406 (Michigan) | Primary |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Southwestern Michigan Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
| Entity Name | Emergency Department Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Entity Name | Elite Emergency Physicians of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427730050 PECOS PAC ID: 2365897725 Enrollment ID: O20231005000836 |
| Entity Name | Vituity-michigan Health Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750102323 PECOS PAC ID: 9931635430 Enrollment ID: O20241206002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Hartle, PA-C 5809 Sandalwood Dr, Kalamazoo, MI 49048-6634 Ph: (513) 917-3910 | Michelle Hartle, PA-C 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 Ph: (269) 343-3900 |
Justine Melodie Oudsema, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Box 74, Kalamazoo, MI 49007 Phone: 269-341-8481 Fax: 269-341-7781 |
Madison Lynn Van Winkle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030 Fax: 269-286-7031 |
Mr. Martin Joseph Clinard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Drake Rd, Kalamazoo, MI 49009 Phone: 269-343-1296 Fax: 269-344-8485 |
Collier S Wiese, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555 |
Mrs. Leah Wiser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1903 W Michigan Ave, Sindecuse Health Center, Western Michigan University, Kalamazoo, MI 49008 Phone: 269-387-3287 Fax: 269-387-2944 |
Nicholas S Lapenna, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6220 W Main St, Kalamazoo, MI 49009 Phone: 269-276-4744 Fax: 269-353-5856 |
Rebecca Mary Cronin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-7000 |