| Jonathan P Corley, PA-C | |
|
4100 Embassy Dr Se, Suite 200, Grand Rapids, MI 49546-2416 | |
| (616) 975-1845 | |
| Not Available |
| Full Name | Jonathan P Corley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4100 Embassy Dr Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356696280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Louisiana) | Primary |
| Entity Name | Acs Primary Care Physicians Louisiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306889092 PECOS PAC ID: 4486566932 Enrollment ID: O20050324000095 |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | St Tammany Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan P Corley, PA-C 224 Pecan Park Ave, Alexandria, LA 71303-3308 Ph: (318) 427-7900 | Jonathan P Corley, PA-C 4100 Embassy Dr Se, Suite 200, Grand Rapids, MI 49546-2416 Ph: (616) 975-1845 |
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 |