Kellyann Vandendool, MD | |
7 Atkinson Dr Ste 200, Ludington, MI 49431-1917 | |
(231) 843-3717 | |
Not Available |
Full Name | Kellyann Vandendool |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 12 Years |
Location | 7 Atkinson Dr Ste 200, Ludington, 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 |
---|---|---|---|
1366797615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301111681 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Medical Center Of West Michigan | 3678543659 | 43 |
Entity Name | Memorial Medical Center Of West Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
Mailing Address | Practice Location Address |
---|---|
Kellyann Vandendool, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Kellyann Vandendool, MD 7 Atkinson Dr Ste 200, Ludington, MI 49431-1917 Ph: (231) 843-3717 |
Dr. Bret Gregory Autrey, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Atkinson Dr Ste 200, Ludington, MI 49431 Phone: 231-843-3717 | |
Dr. Keith David Langlois, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Atkinson Dr Ste 200, Ludington, MI 49431 Phone: 231-843-3717 | |
Richard S York, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5 N Atkinson Dr, Suite 201, Ludington, MI 49431 Phone: 231-845-7732 Fax: 231-843-1190 | |
Nizar A Umran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5 Atkinson Dr Ste 205, Ludington, MI 49431 Phone: 231-843-3717 |