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Gustaf Marshall Van Acker

Student in an Organized Health Care Education/Training Program

Student, Health Care

2500 Metrohealth Dr, Cleveland, OH 44109-1900

PECOS Enrollment

This provider is enrolled in PECOS as GUSTAF VANACKER.

Based on the most recent information from CMS, provider Gustaf Marshall Van Acker 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 2 days ago.

Profile Details

Provider ID
1053774547
Provider Type
Individual
Full Name
Van Acker, Gustaf Marshall
Title
Dr.
Credential
M.D., PH.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2016
Last Updated
12/27/2021

Contact Information

Practice Location

2500 Metrohealth Dr, Cleveland, OH 44109-1900

(216) 778-7800

Unlisted Fax

Mailing Location

2500 Metrohealth Dr, Cleveland, OH 44109-1900

(216) 778-4486

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Gustaf Marshall Van Acker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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