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Rebecca Raab

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE, Suite 200, Grand Rapids, MI 49503-2533

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Raab is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1093941445
Provider Type
Individual
Full Name
Raab, Rebecca
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/29/2009
Last Updated
2/19/2021

Contact Information

Practice Location

221 Michigan St NE, Suite 200, Grand Rapids, MI 49503-2533

(616) 267-8950

Unlisted Fax

Mailing Location

100 Michigan St NE, Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601005498 Michigan

Rebecca Raab

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lindhout, Kathleen A

Kurecka, Rachel

Miller, Jessica Ann

Benso, Brent

Lacourt, Ethan J

Vandam, Emily Kay

Maust, Kyle

Arnett, Mara Gray

Groendyke, Alyssa Renee

Herman, Rachel Marie