| Jennifer J Ekkens, DO | |
|
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
| (800) 968-6866 | |
| Not Available |
| Full Name | Jennifer J Ekkens |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275591414 | NPI | - | NPPES |
| JE015656 | Other | MI | BCBS |
| 4827383 | Medicaid | MI | |
| 4827392 | Medicaid | MI | |
| 4827409 | Medicaid | MI | |
| 5201638 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4827418 | Medicaid | MI | |
| P00415675 | Other | MI | RAILROAD MEDICARE |
| 4827374 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101015656 (Michigan) | Primary |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
| Entity Name | Patient One Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770934325 PECOS PAC ID: 1658653860 Enrollment ID: O20170124001540 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J Ekkens, DO Po Box Q, Grand Rapids, MI 49501-4917 Ph: (800) 968-6866 | Jennifer J Ekkens, DO 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (800) 968-6866 |
Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945 | |
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310 | |
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846 | |
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Dr. Calista Kaitlyn Prohaska, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc188, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Dr. Sara Rish Urquhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 Fax: 616-285-0846 |