| Mrs Jennifer J Koetje, PA | |
|
116 W Colby St Ste D, Whitehall, MI 49461-1084 | |
| (231) 292-1240 | |
| (231) 292-1088 |
| Full Name | Mrs Jennifer J Koetje |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 33 Years |
| Location | 116 W Colby St Ste D, Whitehall, 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 |
|---|---|---|---|
| 1912908997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002222 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Muskegon Hospital | Muskegon, MI | Hospital |
| Trinity Health Shelby Hospital | Shelby, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Pointe Medical Pllc | 2860849759 | 2 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Entity Name | Compass Pointe Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013695626 PECOS PAC ID: 2860849759 Enrollment ID: O20231115000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer J Koetje, PA 116 W Colby St Ste D, Whitehall, MI 49461-1084 Ph: (231) 292-1240 | Mrs Jennifer J Koetje, PA 116 W Colby St Ste D, Whitehall, MI 49461-1084 Ph: (231) 292-1240 |
Mrs. Michaela Therese Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E Colby St Ste 120, Whitehall, MI 49461 Phone: 231-672-8050 |
Mr. John James Archambeault, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |
Matthew Allen Tripp, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |
Desiree Lee Elliot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |