Mary Manilla (NPI# 1649726829, PAC ID# 0547557639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649726829 |
| PAC ID by PECOS | 0547557639 |
| Professional Enrollment ID | I20160916001128 |
| Full Name | Mary Manilla |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Address |
725 Baldwin St Jenison MI 49428-7945 |
| Phone Number | 6164572770 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587568647 |
| Number of Group Practice Members | 1248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 1725 Port Sheldon St, Jenison, MI 49428-9002 | 6166671725 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 725 Baldwin St, Jenison, MI 49428-7945 | 6164572770 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Ave Se, 200 Shmg Internal Medicine, Kentwood, MI 49508-4600 | 6163915600 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Physicians | 1352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Bur | Nurse Practitioner | Spectrum Health Primary Care Partners | 4100 Lake Dr Se, B01 Shmg Bariatric Surgery, Grand Rapids, MI 49546-8292 |
| Emily Elizabeth Fulton | Physician Assistant | Spectrum Health Primary Care Partners | 8501 Meadow Crk, Rockford, MI 49341-7524 |
| Erik Christopher Peterson | Nurse Practitioner | Spectrum Health Primary Care Partners | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 |
| Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Nichole Anne Bundschuh | Nurse Practitioner | Spectrum Health Primary Care Partners | 9090 S Rodgers Ct Se A, Shmg Family Medicine Caledonia, Caledonia, MI 49316-8052 |
| Sarah Anne Jongsma | Clinical Social Worker | Spectrum Health Primary Care Partners | 3152 Port Sheldon Rd, Hudsonville, MI 49426-9297 |
| Ora Darling | Physician Assistant | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Mudita Bhugra | Internal Medicine | Spectrum Health Primary Care Partners | 1900 Wealthy Se, Suite 200, Grand Rapids, MI 49506-2969 |
| Marcos Itamar Cordoba-munoz | Obstetrics/gynecology | Spectrum Health Primary Care Partners | 25 Michigan St Ne, Shmg Diabetes Education (25 Mich), Grand Rapids, MI 49503-2515 |
| Jason Biehl | Pulmonary Disease | Spectrum Health Primary Care Partners | 35 Michigan Ne, Grand Rapids, MI 49503-2508 |
| Street Address |
725 BALDWIN ST |
| City | JENISON |
| State | MI |
| Zip | 49428-7945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric R Hartman | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
| Rebecca Lyn Warnecke | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
| Allen R Smith | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
| Nicole Marie Bennett Gdowski | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
| Marek A Stawiski | Dermatology | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 597 Baldwin St, Jenison, MI 49428-7994 |
| Matthew W Medley | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Robert C Huizenga | Optometry | 7673 Georgetown Ctr Dr, Jenison, MI 49428-8101 | |
| Megan K Mouser | Nurse Practitioner | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Karl O Breitweiser | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Diana L Dillman | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Find all physicians in zip 49428 | |||
| City | JENISON |
| Zip Code | 49428 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JENISON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Manilla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.