Daniel Mark Mankoff, MD | |
4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 | |
(616) 285-1377 | |
(616) 285-1006 |
Full Name | Daniel Mark Mankoff |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 4100 Lake Dr Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306803010 | NPI | - | NPPES |
4592429-10 | Medicaid | MI | |
550410219 | Other | MI | BCBSM |
5205950-10 | Medicaid | MI | |
4532260-10 | Medicaid | MI | |
4552942-10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301044741 (Michigan) | Primary |
Entity Name | Michigan Pain Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094 |
Mailing Address | Practice Location Address |
---|---|
Daniel Mark Mankoff, MD 61 Commerce Ave Sw, Grand Rapids, MI 49503-4124 Ph: (616) 940-0660 | Daniel Mark Mankoff, MD 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Ph: (616) 285-1377 |
Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345 | |
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377 |