Jason Dipman, AA-C | |
100 Michigan St Ne, Grand Rapids, MI 49503 | |
(616) 364-4200 | |
Not Available |
Full Name | Jason Dipman |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 13 Years |
Location | 100 Michigan St Ne, Grand Rapids, 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 |
---|---|---|---|
1053694976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 1227 (Michigan) | Primary |
174400000X | Specialist | 2011032475 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health Zeeland Community Hospital | Zeeland, MI | Hospital |
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Michigan Anesthesia Pc | 1355243551 | 190 |
Entity Name | West Michigan Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018 |
Entity Name | Anesthesia Medical Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
Mailing Address | Practice Location Address |
---|---|
Jason Dipman, AA-C 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 284-3132 | Jason Dipman, AA-C 100 Michigan St Ne, Grand Rapids, MI 49503 Ph: (616) 364-4200 |
Mr. Jeffrey Ryan Hall, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Meghan Fowler, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Ms. Loredana Berkowitz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Andrea Mantel, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-284-3132 | |
Camille Meadows, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347 | |
Mr. Lonnie Meadows, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347 |