Koren Gebben, NURSE PRACTITIONER | |
1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 | |
(616) 808-2695 | |
(616) 808-2697 |
Full Name | Koren Gebben |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1959 East Paris Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134690761 | NPI | - | NPPES |
4704277013 | Other | MI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704277013 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Age Management Of West Michigan Pc | 2466686290 | 18 |
Senior Resources Of West Michigan | 7315245222 | 7 |
Entity Name | State Of Michigan Office Of Financial Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710989298 PECOS PAC ID: 5496650723 Enrollment ID: O20060327000260 |
Entity Name | Age Management Of West Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558700625 PECOS PAC ID: 2466686290 Enrollment ID: O20131010001662 |
Entity Name | Senior Resources Of West Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033732987 PECOS PAC ID: 7315245222 Enrollment ID: O20160408001868 |
Mailing Address | Practice Location Address |
---|---|
Koren Gebben, NURSE PRACTITIONER 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 Ph: (616) 808-2695 | Koren Gebben, NURSE PRACTITIONER 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 Ph: (616) 808-2695 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 | |
Joyce M Jensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-459-3158 Fax: 616-988-0071 |