| Brandon J Churchman, PA-C, DDS | |
|
3737 Lake Eastbrook Blvd Se Ste 212, Grand Rapids, MI 49546-5989 | |
| (616) 258-1473 | |
| Not Available |
| Full Name | Brandon J Churchman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 3737 Lake Eastbrook Blvd Se Ste 212, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548423015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5691005799 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 2901022201 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ecs Western Michigan Pc | 8628327384 | 202 |
| Entity Name | Sparrow Clinton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396827952 PECOS PAC ID: 5395658850 Enrollment ID: O20031111000063 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | Epmg of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386688992 PECOS PAC ID: 4789596339 Enrollment ID: O20040211000686 |
| Entity Name | Munising Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629120415 PECOS PAC ID: 9830170372 Enrollment ID: O20040528000989 |
| Entity Name | Visionary Medical Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Entity Name | Portage Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
| Entity Name | Springfield Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144747460 PECOS PAC ID: 3971869942 Enrollment ID: O20171107002040 |
| Entity Name | Ecs Western Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon J Churchman, PA-C, DDS 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 Ph: (616) 975-1845 | Brandon J Churchman, PA-C, DDS 3737 Lake Eastbrook Blvd Se Ste 212, Grand Rapids, MI 49546-5989 Ph: (616) 258-1473 |
Justin Michael Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525 Phone: 616-459-7101 |
Alexandra Bengel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503 Phone: 616-267-8540 |
Tabetha Emily Bergeron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4069 Lake Dr Se, Grand Rapids, MI 49546 Phone: 616-267-7469 |
Emily Elizabeth Zecic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 68th St Se, Grand Rapids, MI 49548 Phone: 616-391-8242 |
Mr. Ethan J Lacourt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-7900 Fax: 616-267-7901 |
Megan Rachelle Vanderkamp, Physician Assistant Medicare: Medicare Enrolled Practice Location: 119 Prospect Ave Ne, Grand Rapids, MI 49503 Phone: 616-826-3174 |
Gavin O'brien, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-272-3533 Fax: 616-259-4839 |