Brent Eric Van Til (NPI# 1225285992, PAC ID# 6709064983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1225285992 |
| PAC ID by PECOS | 6709064983 |
| Professional Enrollment ID | I20110617000587 |
| Full Name | Brent Eric Van Til |
| Organization Legal Name | HOLLAND FOOT AND ANKLE CENTER PC |
| Address |
904 S Washington Ave Holland MI 49423-7724 |
| Phone Number | 6163927472 |
| Gender | M |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1658265202 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 445 120th Ave, Holland, MI 49424-2119 | 6167381300 | HOLLAND FOOT AND ANKLE CENTER PC |
| 904 S Washington Ave, Holland, MI 49423-7724 | 6163927472 | HOLLAND FOOT AND ANKLE CENTER PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 66% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | HOLLAND FOOT AND ANKLE CENTER PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Lappenga | Podiatry | Holland Foot and Ankle Center PC | 445 120th Ave, Holland, MI 49424-2119 |
| Richard M Seiler | Podiatry | Holland Foot and Ankle Center PC | 930 Blue Star Hwy, South Haven, MI 49090-7758 |
| Allison Dozeman | Podiatry | Holland Foot and Ankle Center PC | 904 S Washington Ave, Holland, MI 49423-7724 |
| Jeffrey Allen Muldoon | Podiatry | Holland Foot and Ankle Center PC | 904 S Washington Ave, Holland, MI 49423-7724 |
| Street Address |
904 S WASHINGTON AVE |
| City | HOLLAND |
| State | MI |
| Zip | 49423-7724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Dozeman | Podiatry | Holland Foot and Ankle Center PC | 904 S Washington Ave, Holland, MI 49423-7724 |
| Jeffrey Allen Muldoon | Podiatry | Holland Foot and Ankle Center PC | 904 S Washington Ave, Holland, MI 49423-7724 |
| Stephanie A Sosinski | Physician Assistant | Asthma Allergy Centers PC | 904 S Washington Ave, Suite 120, Holland, MI 49423-7724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Jammer | Optometry | Rx Optical Laboratories, Inc. | 1148 S Washington, Holland, MI 49423 |
| Jonathan L Stevens | Clinical Social Worker | 426 Century Ln, Suite 100, Holland, MI 49423-2200 | |
| Carli M Luce | Clinical Social Worker | West Shore Counseling Services LLC | 426 Century Ln, Suite 100, Holland, MI 49423-2200 |
| Patricia Ann Baer | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Steven Thomas Johnson | Psychologist, Clinical | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Diana M Wiersma | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Keith A Louwerse | Psychologist, Clinical | 186 S River Ave, Suite 5, Holland, MI 49423-2848 | |
| Jill S Vander Bent | Clinical Social Worker | 186 S River Ave, 5 Abundance of Hope LLC, Holland, MI 49423-2848 | |
| Suzanne Lee | Nurse Practitioner | Spectrum Health Primary Care Partners | 145 Columbia Ave, Holland, MI 49423-2981 |
| Nathan E Dykema | Physical Therapy | Simio Health Services, Pllc | 730 Chicago Dr, Holland, MI 49423-3004 |
| Find all physicians in zip 49423 | |||
| City | HOLLAND |
| Zip Code | 49423 |
| Specialty | PODIATRY |
| City + Specialty | HOLLAND + PODIATRY |
Please comment or provide details below to improve the information on Brent Eric Van Til.
| 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.