Mr Lonnie Meadows, | |
100 Michigan St Ne, Grand Rapids, MI 49503-2560 | |
(616) 364-4200 | |
(616) 364-7347 |
Full Name | Mr Lonnie Meadows |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 9 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 |
---|---|---|---|
1245611086 | NPI | - | NPPES |
67.000251 | Other | OH | OHIO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000251 (Ohio) | Secondary |
367H00000X | Anesthesiologist Assistant | 1877 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Services Network Ltd | 8820902794 | 168 |
Entity Name | Anesthesiology Services Network Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
Entity Name | Anesthesia Associates Of Cincinnati, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
Mailing Address | Practice Location Address |
---|---|
Mr Lonnie Meadows, 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Mr Lonnie Meadows, 100 Michigan St Ne, Grand Rapids, MI 49503-2560 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 | |
Jason Dipman, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 | |
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 |