Mr Ethan J Lacourt, PA-C - Medicare Physician Assistant in Grand Rapids, MI

Mr Ethan J Lacourt, PA-C is a medicare enrolled "Physician Assistant" in Grand Rapids, Michigan. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 25 Michigan St Ne Ste 6100, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7900.

Mr Ethan J Lacourt is licensed to practice in Michigan (license number 5601010844) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003434507.

Contact Information

Mr Ethan J Lacourt, PA-C
25 Michigan St Ne Ste 6100,
Grand Rapids, MI 49503-2561
(616) 267-7900
Not Available

Map and Direction




Provider's Profile

Full NameMr Ethan J Lacourt
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location25 Michigan St Ne Ste 6100, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ethan J Lacourt graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1003434507
  • Provider Enumeration Date: 07/10/2020
  • Last Update Date: 07/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921497884
  • Enrollment ID: I20211115001546

Medical Identifiers

Medical identifiers for Mr Ethan J Lacourt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003434507NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601010844 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Spectrum Health Big Rapids HospitalBig rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471590

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ethan J Lacourt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ethan J Lacourt, PA-C
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -
Mr Ethan J Lacourt, PA-C
25 Michigan St Ne Ste 6100,
Grand Rapids, MI 49503-2561

Ph: (616) 267-7900

Reviews and Comments


Physician Assistant Nurses in Grand Rapids, MI

Justin Michael Miller, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525
Phone: 616-459-7101    
Alexandra Bengel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503
Phone: 616-267-8540    
Tabetha Emily Bergeron, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4069 Lake Dr Se, Grand Rapids, MI 49546
Phone: 616-267-7469    
Ashley Lauren Ek, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506
Phone: 616-717-5141    Fax: 616-717-5145
Emily Elizabeth Zecic, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 68th St Se, Grand Rapids, MI 49548
Phone: 616-391-8242    
Megan Rachelle Vanderkamp,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 119 Prospect Ave Ne, Grand Rapids, MI 49503
Phone: 616-826-3174    

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.