Homeward Physicians , Pllc | |
2627 E Beltline Ave Se Ste 220 Grand Rapids MI 49546-5937 | |
(844) 279-8615 | |
Not Available |
Full Name | Homeward Physicians , Pllc |
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Speciality | General Practice |
Location | 2627 E Beltline Ave Se Ste 220, Grand Rapids, Michigan |
Authorized Official Name and Position | Jonathan Rouwhorst (CHIEF OPERATION OFFICER) |
Authorized Official Contact | 6164028353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Homeward Physicians , Pllc 2 S Park St San Francisco CA 94107-2592 Ph: () - | Homeward Physicians , Pllc 2627 E Beltline Ave Se Ste 220 Grand Rapids MI 49546-5937 Ph: (844) 279-8615 |
NPI Number | 1538828314 |
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Provider Enumeration Date | 12/09/2021 |
Last Update Date | 10/06/2023 |
Medicare PECOS PAC ID | 8921488586 |
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Medicare Enrollment ID | O20220629002254 |
Identifier | Type | State | Issuer |
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1538828314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Patricia A Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568429496 PECOS PAC ID: 0749172484 Enrollment ID: I20040326001000 |
Provider Name | Susan K Owen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871820514 PECOS PAC ID: 6204962020 Enrollment ID: I20100331000948 |
Provider Name | Anthony S Burgess |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114232238 PECOS PAC ID: 6608095294 Enrollment ID: I20160817000429 |
Provider Name | Amanda M Draper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215598339 PECOS PAC ID: 7911307707 Enrollment ID: I20210616000951 |
Provider Name | Saba Haq |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669460085 PECOS PAC ID: 4688684913 Enrollment ID: I20231012003387 |
Provider Name | Amanda Tegge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790540292 PECOS PAC ID: 3779925680 Enrollment ID: I20240523002166 |
Provider Name | Nicole Joanne Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689422172 PECOS PAC ID: 8527400191 Enrollment ID: I20240528003179 |
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