| Javan Medema, PA-C | |
|
1009 W Green St, Hastings, MI 49058-1710 | |
| (269) 945-3451 | |
| Not Available |
| Full Name | Javan Medema |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1009 W Green St, Hastings, 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 |
|---|---|---|---|
| 1194554774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012929 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Pennock Hospital | Hastings, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ecs Western Michigan Pc | 8628327384 | 202 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Javan Medema, PA-C 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 Ph: (616) 988-8220 | Javan Medema, PA-C 1009 W Green St, Hastings, MI 49058-1710 Ph: (269) 945-3451 |
Chelsey Marie Pinto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 |
Daniel Adam Blasch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 269-945-9520 |
Adam Farrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-948-3102 |
Steven R Eernisse, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-3451 Fax: 269-945-3609 |
Leon Vanderlaan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-948-3102 Fax: 269-948-5891 |
Katherine Suzanne Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 |
Collin Mario Ludmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 269-945-9520 |