| Emma Penninga, PA-C | |
|
1700 Clinton St, Muskegon, MI 49442-5502 | |
| (231) 728-4601 | |
| Not Available |
| Full Name | Emma Penninga |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1700 Clinton St, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952189482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012007 (Michigan) | Primary |
| Entity Name | Lake Michigan Emergency Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Lake Michigan Observation Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Penninga, PA-C 931 4 Mile Rd Ne, Grand Rapids, MI 49525-2648 Ph: () - | Emma Penninga, PA-C 1700 Clinton St, Muskegon, MI 49442-5502 Ph: (231) 728-4601 |
Kelly Malia Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 Mercy Drive, Muskegon, MI 49444 Phone: 231-739-9492 | |
Ashley Lauren Dorton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Mercy Dr, Muskegon, MI 49444 Phone: 231-672-3500 Fax: 231-672-6199 | |
Ms. Rita Ann Winteringham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1212 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9427 Fax: 231-830-9729 | |
Mrs. Meredith L Best, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St, Suite 324b, Muskegon, MI 49442 Phone: 231-726-5075 Fax: 231-728-1675 | |
Rebecca L Schlager, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 | |
Rachel Lauren Debruin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-557-3443 | |
Kelly Marie Hobby, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1560 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 |