| Mr Andre Lane Pride, PAC | |
|
300 North Ave, Battle Creek, MI 49017-3307 | |
| (269) 966-8000 | |
| (937) 619-4150 |
| Full Name | Mr Andre Lane Pride |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 300 North Ave, Battle Creek, 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 |
|---|---|---|---|
| 1881961027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006117 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Michigan Emergency Services, Pc | 1456265891 | 69 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| 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 | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013089820 PECOS PAC ID: 0244148633 Enrollment ID: O20040804000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andre Lane Pride, PAC 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 Ph: (866) 898-7139 | Mr Andre Lane Pride, PAC 300 North Ave, Battle Creek, MI 49017-3307 Ph: (269) 966-8000 |
Ms. Heather E Vanschoick-overbeek, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Heritage Oak Ln, Battle Creek, MI 49015 Phone: 269-704-3133 Fax: 269-979-6380 |
Amber Corneillie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7070 E Dr N, Battle Creek, MI 49014 Phone: 269-660-1670 Fax: 269-660-0666 |
Mrs. Janeille Devore, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 181 Emmett St W, Battle Creek, MI 49037 Phone: 269-965-8866 |
Jennifer Lynn Helt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10876 I Dr N, Battle Creek, MI 49014 Phone: 269-282-4010 |
Jami Ridgeway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7070 E Dr N, Battle Creek, MI 49014 Phone: 269-660-1670 |
Christina Marie Stump, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 363 Fremont St Ste 203, Battle Creek, MI 49017 Phone: 269-969-6123 |
Joseph K Njenga, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4441 Capital Ave Sw, Battle Creek, MI 49015 Phone: 269-788-6888 |