Jacquelyn Lee Cosgrove, OD | |
2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 | |
(616) 363-5413 | |
Not Available |
Full Name | Jacquelyn Lee Cosgrove |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 7 Years |
Location | 2820 E Beltline Ln Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568999332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005682 (Michigan) | Primary |
152W00000X | Optometrist | OD60861196 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Rapids Eye Care 2820 Pllc | 4688794647 | 4 |
Provider Name | Grand Rapids Eye Care 2820 Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053534040 PECOS PAC ID: 4688794647 Enrollment ID: O20110303000824 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Lee Cosgrove, OD 2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 Ph: (616) 363-5413 | Jacquelyn Lee Cosgrove, OD 2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 Ph: (616) 363-5413 |
Bruce L Bullion, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1960 28th St Se, Grand Rapids, MI 49508 Phone: 616-247-6677 Fax: 616-247-1254 | |
Modern Optics, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4228 29th St Se, Grand Rapids, MI 49512 Phone: 616-949-5860 | |
Cherry Health - School Linked Vision Program Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-776-2263 | |
Mr. Anthony W Danko, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5429 Northland Dr, Grand Rapids, MI 49525 Phone: 616-365-7600 Fax: 616-365-8289 | |
Brittany Ann Darnley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546 Phone: 616-949-2001 Fax: 646-949-8620 | |
Dr. Kiersten Coon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 144 Monroe Center St Nw, Grand Rapids, MI 49503 Phone: 616-459-0641 Fax: 616-459-0621 | |
Mary P Chelsky, O.D, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5334 |