Saint Mary's Health Services - Medicare Primary Care in Grand Rapids, MI

  1. Home
  2. Primary Care Clinics
  3. MI
  4. Grand Rapids
Saint Mary's Health Services is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Grand Rapids, Michigan. The current practice location for Saint Mary's Health Services is 200 Jefferson Ave Se, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 776-0682. The mailing address for Saint Mary's Health Services is 1900 44th St Se, Kentwood, Michigan and phone number is () -.

Saint Mary's Health Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063917425. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (616) 776-0682.

Contact Information

Saint Mary's Health Services
200 Jefferson Ave Se
Grand Rapids
MI 49503-4502
(616) 776-0682
(616) 685-1846

Map and Direction


Primary Care Clinic Profile

Full NameSaint Mary's Health Services
SpecialityInternal Medicine
Location200 Jefferson Ave Se, Grand Rapids, Michigan
Authorized Official Name and PositionSusan Lockard (SR REVENUE MANAGEMENT ANALYST)
Authorized Official Contact7343430282
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Saint Mary's Health Services
1900 44th St Se
Kentwood
MI 49508-5008

Ph: () -		Saint Mary's Health Services
200 Jefferson Ave Se
Grand Rapids
MI 49503-4502

Ph: (616) 776-0682

NPI Details:

NPI Number1063917425
Provider Enumeration Date03/28/2018
Last Update Date03/28/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4981500436
Medicare Enrollment IDO20180511000758

Medical Identifiers

Medical identifiers for Saint Mary's Health Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063917425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Saint Mary's Health Services acts as a billing entity for following providers:
Provider NameSarah Anne Akers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285666701
PECOS PAC ID: 1557261245
Enrollment ID: I20040109000715
Provider NameMark R Boelkins
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1942396437
PECOS PAC ID: 8224924402
Enrollment ID: I20040226000136
Provider NameKelly A O'sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750332474
PECOS PAC ID: 1052392305
Enrollment ID: I20040525000344
Provider NameTroy D Silvernale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699855908
PECOS PAC ID: 8921089715
Enrollment ID: I20040527000374
Provider NameJayne E Courts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518931500
PECOS PAC ID: 4486630241
Enrollment ID: I20040624000948
Provider NameDaniel J Legault
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1649204892
PECOS PAC ID: 3870564107
Enrollment ID: I20040802001075
Provider NameSteven J Dupuis
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1518906130
PECOS PAC ID: 2769422971
Enrollment ID: I20050506000531
Provider NameRobert George Riekse
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1225081672
PECOS PAC ID: 6507800323
Enrollment ID: I20050613001293
Provider NameErik W Kooyer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700830684
PECOS PAC ID: 0345146726
Enrollment ID: I20050822000739
Provider NameShannon K English
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609820711
PECOS PAC ID: 1557335932
Enrollment ID: I20060126000800
Provider NameJames P Passinault
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1225081490
PECOS PAC ID: 6406859347
Enrollment ID: I20060816000098
Provider NameRonald S Duemler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679524284
PECOS PAC ID: 0143224964
Enrollment ID: I20060911000358
Provider NameBradley L Hubbard
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881663367
PECOS PAC ID: 6305758046
Enrollment ID: I20080513000774
Provider NameRaymond J Jaglowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538192935
PECOS PAC ID: 9537217260
Enrollment ID: I20090506000237
Provider NamePatrick J Fitzgibbon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902025760
PECOS PAC ID: 6406909498
Enrollment ID: I20090810000293
Provider NameGwen Marie Brandt
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1316093529
PECOS PAC ID: 7911049713
Enrollment ID: I20100115000813
Provider NameElizabeth L Neubig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043263544
PECOS PAC ID: 2567595887
Enrollment ID: I20100806000014
Provider NameGlenes J Hamersma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841242898
PECOS PAC ID: 6305039983
Enrollment ID: I20101015000673
Provider NameJoanne L Jepsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063742518
PECOS PAC ID: 6406041516
Enrollment ID: I20101115001310
Provider NameCarlos Weiss
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1609880616
PECOS PAC ID: 4385642024
Enrollment ID: I20101228000573
Provider NameMichael J Post
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1841307154
PECOS PAC ID: 0244246411
Enrollment ID: I20110215001090
Provider NameKeith Vanoosterhout
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1851329957
PECOS PAC ID: 4587748223
Enrollment ID: I20110225000847
Provider NameSaurabh K Goel
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1760678221
PECOS PAC ID: 7012189079
Enrollment ID: I20120914000705
Provider NameMary Jo Richard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427303452
PECOS PAC ID: 0941453674
Enrollment ID: I20130109000207
Provider NameRonald M Hofmann
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1295701209
PECOS PAC ID: 9032127279
Enrollment ID: I20130801000250
Provider NameJanice L Walcott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669414645
PECOS PAC ID: 6305071614
Enrollment ID: I20131022001644
Provider NameKristine Todd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841628690
PECOS PAC ID: 3678701232
Enrollment ID: I20140107000059
Provider NameAfriyie Makel Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477842904
PECOS PAC ID: 6305069519
Enrollment ID: I20140515001201
Provider NameStephanie D Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417208463
PECOS PAC ID: 8628220092
Enrollment ID: I20140915002331
Provider NameSarah M Rich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346644861
PECOS PAC ID: 5496077174
Enrollment ID: I20141208001873
Provider NameEmily Joy Keen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588064638
PECOS PAC ID: 8325364029
Enrollment ID: I20150223001393
Provider NameCynthia Ann Betterly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508254426
PECOS PAC ID: 2163748781
Enrollment ID: I20150225002450
Provider NameGrace Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336531607
PECOS PAC ID: 9234457813
Enrollment ID: I20150410000602
Provider NameAlison Aubry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538536966
PECOS PAC ID: 6103133772
Enrollment ID: I20150915000200
Provider NameKate Holtze
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316264096
PECOS PAC ID: 9335438464
Enrollment ID: I20160512002422
Provider NameKimberly Harper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902258627
PECOS PAC ID: 7315231016
Enrollment ID: I20160803001005
Provider NameLara Mae Dengerink-vantil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679023501
PECOS PAC ID: 3971879875
Enrollment ID: I20171020000961
Provider NameIshrat Jahan
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1982976247
PECOS PAC ID: 3476818816
Enrollment ID: I20180605002838
Provider NameMarc Arenas
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1871908970
PECOS PAC ID: 0547480840
Enrollment ID: I20180710000831
Provider NameSara Karnib
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952741514
PECOS PAC ID: 4385875780
Enrollment ID: I20190710002223
Provider NameGabriella Keefe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821673492
PECOS PAC ID: 1153738711
Enrollment ID: I20210325002575
Provider NameRehan Ansari
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1174987184
PECOS PAC ID: 3375838782
Enrollment ID: I20220711000833

Reviews and Comments


Internal Medicine in Grand Rapids, MI

Gastroenterology Specialist Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546
Phone: 616-975-9100    Fax: 616-975-1161
Mfb Professional Services Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1155 E. Paris, Ste 200, Grand Rapids, MI 49546
Phone: 616-233-3480    Fax: 616-233-3481
American Current Care Of Michigan Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544
Phone: 616-785-2619    Fax: 616-785-2623
Patient One Care, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1740 28th St Se, Grand Rapids, MI 49508
Phone: 616-323-3999    Fax: 616-552-1618
Elite Health, Plc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503
Phone: 616-644-1423    Fax: 616-773-1291
Cherry Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503
Phone: 616-965-8200    
Dr Asif Azeem
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546
Phone: 616-942-6230    Fax: 616-942-6270

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.