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Rachel Marie Herman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 Michigan St NE, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as RACHEL HERMAN.

Based on the most recent information from CMS, provider Rachel Marie Herman 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 4 days ago.

Profile Details

Provider ID
1104271824
Provider Type
Individual
Full Name
Herman, Rachel Marie
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2016
Last Updated
3/18/2021

Contact Information

Practice Location

100 Michigan St NE, Grand Rapids, MI 49503

(616) 391-3431

(616) 391-2783

Mailing Location

100 Michigan St NE, Mc 845, 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 5601007841 Michigan

Rachel Marie Herman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Breese, William R

Maust, Kyle

Braun, Deana Marie

Meyer, Kylie

Temple, Gabrielle Marshall

Honderd, Holly

Rauch, Matthew Robert

Bertus, Sarah

Miller, Allison Riekse

Shaw, Emily Noelle