Autumn M Mantel (NPI# 1740297829, PAC ID# 8224058870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1740297829 |
| PAC ID by PECOS | 8224058870 |
| Professional Enrollment ID | I20051129000282 |
| Full Name | Autumn M Mantel |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Address |
1800 116th Ave Ne 102 Proliance Eastside Ent Bellevue WA 98004-3043 |
| Phone Number | 4254513710 |
| Gender | F |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527972900 |
| Number of Group Practice Members | 446 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1800 116th Ave Ne, 102 Proliance Eastside Ent, Bellevue, WA 98004-3043 | 4254513710 | PROLIANCE SURGEONS, INC., P.S. |
| 17130 Avondale Way Ne, Suite 111, Redmond, WA 98052-4455 | 4258856600 | PROLIANCE SURGEONS, INC., P.S. |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Physicians | 432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Max D'heurle | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 2727 Hollycroft St, Suite 410, Gig Harbor, WA 98335-1369 |
| Chad M Bailey | Plastic and Reconstructive Surgery | Proliance Surgeons, Inc., P.s. | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5291 |
| Kristen Erin Roberts | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1017 20th St, Anacortes, WA 98221-2505 |
| Stefany Jeneifer Cameron | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3779 |
| Stephanie Caroline Ouellet | Nurse Practitioner | Proliance Surgeons, Inc., P.s. | 1724 W Union, 100 Pudget Sound Imaging, Tacoma, WA 98405-2099 |
| Kyle Mark | Physical Therapy | Proliance Surgeons, Inc., P.s. | 510 8th Ave Ne, 340 Proliance Sports Therapy and Rehab of Issaquah, Issaquah, WA 98029-5436 |
| Catherina Min | Optometry | Proliance Surgeons, Inc., P.s. | 17130 Avondale Way Ne, Suite 111, Redmond, WA 98052-4455 |
| Mallorie K Olson | Qualified Audiologist | Proliance Surgeons, Inc., P.s. | 111 S 13th St, Cascade Ear Nose and Throat, Mount Vernon, WA 98274-4105 |
| Jonathan C Kopelovich | Otolaryngology | Proliance Surgeons, Inc., P.s. | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3822 |
| Josh M Grant | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Street Address |
1800 116TH AVE NE 102 PROLIANCE EASTSIDE ENT |
| City | BELLEVUE |
| State | WA |
| Zip | 98004-3043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Rachael Swenson | Nurse Practitioner | Overlake Obstetricians and Gynecologist Ps | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 |
| Maivy Ho | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 1800 116th Ave Ne, Suite 103, Bellevue, WA 98004-3043 |
| John A Wisman | Chiropractic | Bellevue Chiropractic Ps | 1800 116th Ave Ne, Suite 101, Bellevue, WA 98004-3043 |
| Maryam Sadrzadeh | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 1800 116th Ave Ne, Suite 103, Bellevue, WA 98004-3043 |
| Katherine A Van Kessel | Obstetrics/gynecology | Overlake Obstetricians and Gynecologist Ps | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 |
| David J Mayes | Chiropractic | Bellevue Chiropractic Ps | 1800 116th Ave Ne, Suite 101, Bellevue, WA 98004-3043 |
| Thomas D Lenart | Ophthalmology | Proliance Surgeons, Inc., P.s. | 1800 116th Ave Ne, 102 Proliance Eastside Ent, Bellevue, WA 98004-3043 |
| Lisa J Kent Abel | Nurse Practitioner | Overlake Obstetricians and Gynecologist Ps | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 |
| Christine L Werner | Obstetrics/gynecology | Overlake Obstetricians and Gynecologist Ps | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 |
| Kristin J Graham | Obstetrics/gynecology | Overlake Obstetricians and Gynecologist Ps | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tae Soon Park | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Stacy S Donlan | Internal Medicine | 2950 Northup Way, Suite 210, Bellevue, WA 98004-1406 | |
| Glen A Curda | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Meredith M Sargent | Clinical Psychologist | 2950 Northup Way, Suite 204, Bellevue, WA 98004-1406 | |
| Sang H Suh | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1419 | |
| Tessa A Plana | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Jeffrey Walter Mattson | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Brian Carey | Ophthalmology | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Michelle S Blumenzweig | Clinical Social Worker | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Santosh A Agnani | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Find all physicians in zip 98004 | |||
| City | BELLEVUE |
| Zip Code | 98004 |
| Specialty | OPTOMETRY |
| City + Specialty | BELLEVUE + OPTOMETRY |
Please comment or provide details below to improve the information on Autumn M Mantel.
| 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.