| Tracy L Mulder, PHYSICIAN ASSISTANT | |
|
3380 44th St Sw, Grandville, MI 49418-2461 | |
| (616) 685-8250 | |
| (616) 532-3564 |
| Full Name | Tracy L Mulder |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 3380 44th St Sw, Grandville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477720423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005272 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Grand Rapids Hospital | Grand rapids, MI | Hospital |
| Mary Free Bed Rehabilitation Hospital | Grand rapids, MI | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 499 |
| Center For Physical Rehabilitation Inc | 6901717768 | 352 |
| Center For Physical Rehabilitation And Therapy Lp | 0941513303 | 365 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L Mulder, PHYSICIAN ASSISTANT Po Box 1848, Muskegon, MI 49443-1848 Ph: (616) 685-8250 | Tracy L Mulder, PHYSICIAN ASSISTANT 3380 44th St Sw, Grandville, MI 49418-2461 Ph: (616) 685-8250 |
Mr. Ian Edward Lehman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6105 Wilson Ave Sw Ste 204, Grandville, MI 49418 Phone: 616-486-5421 |
Mr. Rodney Davie Hamby, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3380 44th St Sw, Grandville, MI 49418 Phone: 616-685-8250 Fax: 616-532-3564 |
Ms. Sarah Dawn Elkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6105 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-486-5100 |
Kristen Deam, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4466 Heritage Ct Sw, Grandville, MI 49418 Phone: 616-301-0808 |
Michelle Berry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418 Phone: 616-222-3700 |
Sarah Hagan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418 Phone: 616-222-3700 |
Tiana Camille Abiragi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6105 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-486-5100 |