| Eric S Hibma, PA-C | |
|
345 Naomi St, Plainwell, MI 49080-1257 | |
| (269) 552-0100 | |
| (269) 552-0111 |
| Full Name | Eric S Hibma |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 345 Naomi St, Plainwell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073608972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003874 (Michigan) | Primary |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric S Hibma, PA-C 345 Naomi St, Plainwell, MI 49080-1257 Ph: (269) 552-0100 | Eric S Hibma, PA-C 345 Naomi St, Plainwell, MI 49080-1257 Ph: (269) 552-0100 |
Melissa A Torres, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 345 Naomi St, Plainwell, MI 49080 Phone: 269-552-0100 Fax: 269-552-0111 |
Nancy Heed, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 345 Naomi St, Plainwell, MI 49080 Phone: 269-552-0100 Fax: 269-552-0111 |
Gabrielle Hensley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 M 89, Plainwell, MI 49080 Phone: 269-680-3710 |
Jean Lafever, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 345 Naomi St, Plainwell, MI 49080 Phone: 269-552-0100 |
Mr. Daniel William Kucerak Ii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 M 89, Plainwell, MI 49080 Phone: 269-680-3710 |
Amanda S Rathburn, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 345 Naomi St, Plainwell, MI 49080 Phone: 269-552-0100 |
Randall E Schultze, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 411 Naomi St, Plainwell, MI 49080 Phone: 269-685-0796 |