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Dorothy Anne Galang Cabantan

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

100 Michigan St NE, Suite A601, Grand Rapids, MI 49503-2560

PECOS Enrollment

This provider is enrolled in PECOS as DOROTHY ANNE CABANTAN.

Based on the most recent information from CMS, provider Dorothy Anne Galang Cabantan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1538937974
Provider Type
Individual
Full Name
Cabantan, Dorothy Anne Galang
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/14/2023
Last Updated
6/24/2024

Contact Information

Practice Location

100 Michigan St NE, Suite A601, Grand Rapids, MI 49503-2560

(616) 391-3570

Unlisted Fax

Mailing Location

100 Michigan St NE, Suite A601, Grand Rapids, MI 49503-2560

(616) 391-3570

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5151016810 Michigan

Dorothy Anne Galang Cabantan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ball, Richard D

Jeffers, Jacob Brayton

Struble, Taylor J

Fechtner, Daniel

Jost, Kristen

Geczi, Kristin

Vandenberg, Jonathan Christian

Yablon, Stuart A

Smith, Lauren Elizabeth

Mousigian, Marianne