Mrs Lonna Petronella Van Ast, PA - Physician Assistant in Grand Rapids, MI

Mrs Lonna Petronella Van Ast, PA is a Physician Assistant - Surgical based in Grand Rapids, Michigan. Mrs Lonna Petronella Van Ast is licensed to practice in Michigan (license number 5601002990) and her current practice location is 1022 Ada Place Dr Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 550-0427.

NPI number for Mrs Lonna Petronella Van Ast is 1093028441 and her current mailing address is 1022 Ada Place Dr Se, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093028441.

Contact Information

Mrs Lonna Petronella Van Ast, PA
1022 Ada Place Dr Se,
Grand Rapids, MI 49546-3786
(616) 550-0427
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lonna Petronella Van Ast
GenderFemale
SpecialityPhysician Assistant - Surgical
Location1022 Ada Place Dr Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093028441
  • Provider Enumeration Date: 07/14/2010
  • Last Update Date: 07/29/2013

Medical Identifiers

Medical identifiers for Mrs Lonna Petronella Van Ast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093028441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 5601002990 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lonna Petronella Van Ast is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lonna Petronella Van Ast, PA
1022 Ada Place Dr Se,
Grand Rapids, MI 49546-3786

Ph: () -
Mrs Lonna Petronella Van Ast, PA
1022 Ada Place Dr Se,
Grand Rapids, MI 49546-3786

Ph: (616) 550-0427

Reviews and Comments


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