Infusion Associates Pllc | |
3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 | |
(616) 954-0600 | |
Not Available |
Full Name | Infusion Associates Pllc |
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Speciality | Internal Medicine |
Location | 3230 Eagle Park Dr Ne, Grand Rapids, Michigan |
Authorized Official Name and Position | Khan Javan Nedd (PRESIDENT) |
Authorized Official Contact | 6169540600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infusion Associates Pllc 3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 Ph: (616) 954-0600 | Infusion Associates Pllc 3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 Ph: (616) 954-0600 |
NPI Number | 1487622296 |
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Provider Enumeration Date | 03/08/2006 |
Last Update Date | 08/21/2024 |
Medicare PECOS PAC ID | 0840185203 |
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Medicare Enrollment ID | O20040322001830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487622296 | NPI | - | NPPES |
110D111790 | Other | MI | BCBSM |
CJ6657 | Other | RAILROAD MEDICARE |
Provider Name | Khan J Nedd |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043284219 PECOS PAC ID: 2062307432 Enrollment ID: I20041124000489 |
Provider Name | Jerilynn Spring |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790767820 PECOS PAC ID: 7719902576 Enrollment ID: I20051011000302 |
Provider Name | Michael L Mawby |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1720084114 PECOS PAC ID: 2163442914 Enrollment ID: I20051123000260 |
Provider Name | Nathan A Rousse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356353791 PECOS PAC ID: 0749284792 Enrollment ID: I20060905000338 |
Provider Name | Marianne Peacock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386631455 PECOS PAC ID: 8820189889 Enrollment ID: I20070806000129 |
Provider Name | Juliana J Grey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750355640 PECOS PAC ID: 6608761077 Enrollment ID: I20091211000169 |
Provider Name | Ashley Desrocher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104147792 PECOS PAC ID: 2062545742 Enrollment ID: I20100802000435 |
Provider Name | Marjorie Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639266067 PECOS PAC ID: 6305846122 Enrollment ID: I20110118000470 |
Provider Name | Kimberly S Agim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912243056 PECOS PAC ID: 5597919936 Enrollment ID: I20130212000105 |
Provider Name | Deanna J Arnould |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235483561 PECOS PAC ID: 6709030992 Enrollment ID: I20130218000407 |
Provider Name | Andrea C Gillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952799850 PECOS PAC ID: 0143545798 Enrollment ID: I20150203000615 |
Provider Name | Laura R Mandrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972996122 PECOS PAC ID: 4486973757 Enrollment ID: I20150507002413 |
Provider Name | Emily Eliza Pyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215322805 PECOS PAC ID: 4486974953 Enrollment ID: I20150522002097 |
Provider Name | Sarah Darnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639416662 PECOS PAC ID: 8921310285 Enrollment ID: I20150630001357 |
Provider Name | Denise A Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265456198 PECOS PAC ID: 7113231705 Enrollment ID: I20150727000982 |
Provider Name | Beth Ann Stille |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164881694 PECOS PAC ID: 8729370176 Enrollment ID: I20160706001054 |
Provider Name | Jamie Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043692932 PECOS PAC ID: 6507151537 Enrollment ID: I20171207000762 |
Provider Name | Julia Marchal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235681503 PECOS PAC ID: 6901186857 Enrollment ID: I20190926001755 |
Provider Name | Vian Murad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053961482 PECOS PAC ID: 2668804659 Enrollment ID: I20191113000546 |
Provider Name | Jacqueline A Curiston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336779958 PECOS PAC ID: 2264860345 Enrollment ID: I20200324002010 |
Provider Name | Nicole Marie Conway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467098202 PECOS PAC ID: 8426479122 Enrollment ID: I20200604003174 |
Provider Name | Monica Meriam Hallac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740831528 PECOS PAC ID: 2860811437 Enrollment ID: I20200930003368 |
Provider Name | Madison Mary Forsyth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780289199 PECOS PAC ID: 9739593260 Enrollment ID: I20210125002180 |
Provider Name | Gabriella Keefe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821673492 PECOS PAC ID: 1153738711 Enrollment ID: I20210325002575 |
Provider Name | Danyielle Krista Jernukian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861097263 PECOS PAC ID: 0446662431 Enrollment ID: I20210426002606 |
Provider Name | Veronica F Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932714078 PECOS PAC ID: 9739587312 Enrollment ID: I20211012002641 |
Provider Name | Victoria Murad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669141362 PECOS PAC ID: 3173913407 Enrollment ID: I20211201000545 |
Provider Name | Jacquelyn Schutten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881363281 PECOS PAC ID: 2264826296 Enrollment ID: I20220308001194 |
Provider Name | Zeinab Berjaoui |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659972339 PECOS PAC ID: 8628463973 Enrollment ID: I20220323001018 |
Provider Name | Maaike Marjet Wallenstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467022475 PECOS PAC ID: 8820485410 Enrollment ID: I20220429000399 |
Provider Name | Rachel Erica Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750940375 PECOS PAC ID: 1557742921 Enrollment ID: I20220715001927 |
Provider Name | Jay M Sartor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538828280 PECOS PAC ID: 7214319219 Enrollment ID: I20220808003146 |
Provider Name | Jennifer J Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497233613 PECOS PAC ID: 2365787181 Enrollment ID: I20221130000523 |
Provider Name | Bogdan Deaconu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932817558 PECOS PAC ID: 2264892173 Enrollment ID: I20230724001110 |
Provider Name | Emily E Derhammer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013774215 PECOS PAC ID: 0648612697 Enrollment ID: I20240522003871 |
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