Dr Peter Easa Khoury, DO in Grand Rapids, MI

Dr Peter Easa Khoury, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Grand Rapids, Michigan. His current practice location is 2060 East Paris Ave Se Ste 200, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 285-1377.

Dr Peter Easa Khoury is licensed to practice in Michigan (license number 64743) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174057970.

Contact Information

	Dr Peter Easa Khoury, DO
	2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113
	(616) 285-1377
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Peter Easa Khoury
Gender	Male
Speciality	Pain Medicine - Pain Medicine
Location	2060 East Paris Ave Se Ste 200, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174057970
Provider Enumeration Date: 04/18/2017
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3274871165
Enrollment ID: I20210803001940

Medical Identifiers

Medical identifiers for Dr Peter Easa Khoury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174057970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	5101026090 (Michigan)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	64743 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter Easa Khoury allows following entities to bill medicare on his behalf.

Entity Name	Michigan Pain Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

Entity Name	Nsa Pain Services Of Michigan Iii, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376169524 PECOS PAC ID: 8921428996 Enrollment ID: O20201013000578

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Easa Khoury is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Peter Easa Khoury, DO 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377	Dr Peter Easa Khoury, DO 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377

Reviews and Comments

Pain Medicine Doctors in Grand Rapids, MI

Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377
Mark Louis Gostine, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006

Dr Peter Easa Khoury, DO - Medicare Pain Medicine in Grand Rapids, MI