Jon Vandervliet, MD | |
2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 | |
(734) 786-2317 | |
(734) 786-4977 |
Full Name | Jon Vandervliet |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 2006 Hogback Rd, Ann Arbor, 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 |
---|---|---|---|
1366603318 | NPI | - | NPPES |
H17604112 | Other | MI | MEDICARE PTAN |
4301092851 | Other | MI | MICHIGAN LICENSE |
1366603318 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301092851 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Chelsea | Chelsea, MI | Hospital |
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Huron Gastroenterology Associates P.c. | 0840288221 | 67 |
Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 147 |
Entity Name | Huron Gastroenterology Associates P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144335639 PECOS PAC ID: 0840288221 Enrollment ID: O20040504001055 |
Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
Entity Name | Center For Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1164528527 PECOS PAC ID: 4981658374 Enrollment ID: O20050309000185 |
Mailing Address | Practice Location Address |
---|---|
Jon Vandervliet, MD 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 Ph: (734) 786-2317 | Jon Vandervliet, MD 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 Ph: (734) 786-2317 |
Paul Derek Fernandes, BM Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Thomas F Curran, Anesthesiology Medicare: Medicare Enrolled Practice Location: 2215 Fuller Rd, Ann Arbor, MI 48105 Phone: 734-845-5342 | |
Meghan Horn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Youssef Daklallah, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 313-525-1834 | |
Austin Michael Foote, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Andrew James Baldock, BM Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Monn Y Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 |