Kelly Perez, PAC - Medicare Physician Assistant in Grand Haven, MI

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Kelly Perez, PAC is a medicare enrolled "Physician Assistant" in Grand Haven, Michigan. She graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Iha Health Services Corporation and her current practice location is 15100 Whittaker Way, Grand Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 935-6210.

Kelly Perez is licensed to practice in Michigan (license number 5601002517) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376629493.

Contact Information

Kelly Perez, PAC
15100 Whittaker Way,
Grand Haven, MI 49417-8696
(616) 935-6210
Not Available

Map and Direction




Provider's Profile

Full NameKelly Perez
GenderFemale
SpecialityPhysician Assistant
Experience31 Years
Location15100 Whittaker Way, Grand Haven, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Perez graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1376629493
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123008075
  • Enrollment ID: I20040722000202

Medical Identifiers

Medical identifiers for Kelly Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376629493NPI-NPPES
0C91143OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601002517 (Michigan)Primary
363AM0700XPhysician Assistant - Medical 5601002517 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Muskegon HospitalMuskegon, MIHospital
Trinity Health Grand Rapids HospitalGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Health Services Corporation24663514401149

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Perez allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NameSynanon Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588650261
PECOS PAC ID: 6204899172
Enrollment ID: O20050105001095
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameComplexcare Medical Group Midwest H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457144933
PECOS PAC ID: 0143737148
Enrollment ID: O20250815000157

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Perez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Perez, PAC
1700 Oak Ave,
Muskegon, MI 49442-2407

Ph: (231) 672-6580		Kelly Perez, PAC
15100 Whittaker Way,
Grand Haven, MI 49417-8696

Ph: (616) 935-6210

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.