| Gavin O'brien, | |
|
770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-8602 | |
| (616) 272-3533 | |
| (616) 259-4839 |
| Full Name | Gavin O'brien |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 770 Kenmoor Ave Se Ste 100, 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 |
|---|---|---|---|
| 1003689183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northview Medical House Calls Plc | 9537345400 | 36 |
| Northview Health Specialists, Pllc | 9638422835 | 24 |
| Entity Name | Northview Medical House Calls PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336447002 PECOS PAC ID: 9537345400 Enrollment ID: O20110511000431 |
| Entity Name | Northview Health Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629558978 PECOS PAC ID: 9638422835 Enrollment ID: O20181105000977 |
| Entity Name | Careline Palliative Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801367073 PECOS PAC ID: 3678810439 Enrollment ID: O20190131003407 |
| Entity Name | Provider Partners Care Management LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250109000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin O'brien, 801 Rosehill Rd, Jackson, MI 49202-1762 Ph: (517) 212-2008 | Gavin O'brien, 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-8602 Ph: (616) 272-3533 |
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 |
Scott Charles Lawrence, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503 Phone: 616-459-3551 Fax: 616-459-1060 |