Mrs Michelle Rose Godfrey, PA-C is a medicare enrolled "Physician Assistant" in Canadian Lakes, Michigan. Her current practice location is
8354 100th Ave Ste 1, Canadian Lakes, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 972-6000.
Mrs Michelle Rose Godfrey is licensed to practice in Michigan (license number 5601004492) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881620359.
Provider's Profile
Full Name | Mrs Michelle Rose Godfrey |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 8354 100th Ave Ste 1, Canadian Lakes, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881620359
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 03/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143226209
- Enrollment ID: I20061012000258
Medical Identifiers
Medical identifiers for Mrs Michelle Rose Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881620359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601004492 (Michigan) | Primary |
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. Mrs Michelle Rose Godfrey 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 Address | Practice Location Address |
Mrs Michelle Rose Godfrey, PA-C 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Mrs Michelle Rose Godfrey, PA-C 8354 100th Ave Ste 1, Canadian Lakes, MI 49346-8345 Ph: (231) 972-6000 |
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