Jennifer J Ekkens, DO | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(800) 968-6866 | |
Not Available |
Full Name | Jennifer J Ekkens |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275591414 | NPI | - | NPPES |
JE015656 | Other | MI | BCBS |
4827383 | Medicaid | MI | |
4827392 | Medicaid | MI | |
4827409 | Medicaid | MI | |
5201638 | Medicaid | MI | |
1598712390 | Other | MI | GROUP NPI |
4827418 | Medicaid | MI | |
P00415675 | Other | MI | RAILROAD MEDICARE |
4827374 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101015656 (Michigan) | Primary |
Entity Name | Sparrow Carson Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
Entity Name | Patient One Care, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770934325 PECOS PAC ID: 1658653860 Enrollment ID: O20170124001540 |
Mailing Address | Practice Location Address |
---|---|
Jennifer J Ekkens, DO Po Box Q, Grand Rapids, MI 49501-4917 Ph: (800) 968-6866 | Jennifer J Ekkens, DO 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (800) 968-6866 |
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310 | |
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846 | |
Andrew Steven Coleman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Steven Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 800-968-6866 | |
Colleen M Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 |