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Benjamin Daniel Kuiper

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

35 Michigan St NE Ste 4150, Grand Rapids, MI 49503-2529

PECOS Enrollment

This provider is enrolled in PECOS as BENJAMIN KUIPER.

Based on the most recent information from CMS, provider Benjamin Daniel Kuiper 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
1295126225
Provider Type
Individual
Full Name
Kuiper, Benjamin Daniel
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
2/12/2015
Last Updated
6/5/2023

Contact Information

Practice Location

35 Michigan St NE Ste 4150, Grand Rapids, MI 49503-2529

(616) 267-2600

Unlisted Fax

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 5601007314 Michigan

Benjamin Daniel Kuiper

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Pebbles, Timothy Allen

Sturdevant, Samuel James

Magnusson, Michelle Lynn

Reiff, Rebekah A

Kurecka, Rachel

Lee, Avery Perrin

Adams, Christie Marie

Lyons, Leah

West, Angela Lynn