Jaimie Lynn Coucke, PA is a medicare enrolled "Physician Assistant" provider in Grand Rapids, Michigan. Her current practice location is
145 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 486-5941.
Jaimie Lynn Coucke is licensed to practice in Michigan (license number 5601011219) 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 1326549916.
Healthcare Provider's Profile
Full Name | Jaimie Lynn Coucke |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 145 Michigan St Ne, Grand Rapids, 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: 1326549916
- Provider Enumeration Date: 02/28/2018
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911383583
- Enrollment ID: I20221005000850
Medical Identifiers
Medical identifiers for Jaimie Lynn Coucke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326549916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101004357 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601011219 (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. Jaimie Lynn Coucke 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 |
Jaimie Lynn Coucke, PA 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Jaimie Lynn Coucke, PA 145 Michigan St Ne, Grand Rapids, MI 49503-2562 Ph: (616) 486-5941 |
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