Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amanda Rose Pung, PA-C

Individual provider Physician Assistant · NPI 1699844571

Mrs. Amanda Rose Pung, PA-C is a Physician Assistant in Paw Paw, Michigan. Qualified in 2006, 20 years ago. Practices with Bronson Lakeview Hospital, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

451 Health Pkwy Ste B
Paw Paw, MI 49079-8242
Phone: (269) 655-3065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 319 W Delaware St, Decatur, MI 49045-1106 — (269) 423-7028

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004946 (MI)

Record details

NPI number1699844571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Bronson Lakeview Hospital — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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