| Justin L Shields, PA | |
|
25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 | |
| (616) 267-0800 | |
| (616) 267-0801 |
| Full Name | Justin L Shields |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 25 Michigan St Ne Ste 5100, 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 |
|---|---|---|---|
| 1730471368 | NPI | - | NPPES |
| 1730471368 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006017 (Michigan) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Muskegon Hospital | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Specialty Services | 2365439544 | 87 |
| Entity Name | Spectrum Health Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
| Entity Name | Mercy Health Partners Sub-specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
| Entity Name | Mercy Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040804001335 |
| Entity Name | Mercy Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20041117000331 |
| Entity Name | Mercy Health Partners - Physician Specialist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615 |
| Entity Name | Mercy Health Westshore Cardiology Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336573393 PECOS PAC ID: 5991932360 Enrollment ID: O20131210000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin L Shields, PA 100 Michigan St Ne Mc-845, Grand Rapids, MI 49503-2560 Ph: (616) 267-0800 | Justin L Shields, PA 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 Ph: (616) 267-0800 |
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 |