Jennifer Lyn Vance (NPI# 1316183429, PAC ID# 1153487491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316183429 |
| PAC ID by PECOS | 1153487491 |
| Professional Enrollment ID | I20171107000583 |
| Full Name | Jennifer Lyn Vance |
| Organization Legal Name | ALLEGAN GENERAL HOSPITAL |
| Address |
200 N Maple St Fennville Med Ctr Fennville MI 49408-8478 |
| Phone Number | 2695618761 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092750356 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231328 | ALLEGAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 | 2695618761 | ALLEGAN GENERAL HOSPITAL |
| Organization Legal Name | ALLEGAN GENERAL HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea D Landis | Physician Assistant | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Madiha Farhat | Family Medicine | Allegan General Hospital | 900 Dix St, Otsego, MI 49078-1563 |
| Eriberto Carrion | Family Medicine | Allegan General Hospital | 406 N State St, Gobles Medical Clinic, Gobles, MI 49055-9717 |
| Kenneth P Forsman | Family Medicine | Allegan General Hospital | 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 |
| Susan L Rood | Clinical Social Worker | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Melissa A Torres | Physician Assistant | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| William E Sikes | Certified Registered Nurse Anesthetist (crna) | Allegan General Hospital | 555 Linn St, Allegan, MI 49010-1524 |
| Susie J Sebright | Physician Assistant | Allegan General Hospital | 555 Linn St, Allegan, MI 49010-1524 |
| Brenda Laninga Schloff | Family Medicine | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Lindsey Dawn Betout | Nurse Practitioner | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Street Address |
200 N MAPLE ST FENNVILLE MED CTR |
| City | FENNVILLE |
| State | MI |
| Zip | 49408-8478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth P Forsman | Family Medicine | Allegan General Hospital | 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 |
| City | FENNVILLE |
| Zip Code | 49408 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FENNVILLE + PHYSICIAN ASSISTANT |
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| 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.