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Castyn Rose Williams

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537

PECOS Enrollment

This provider is enrolled in PECOS as CASTYN WILLIAMS.

Based on the most recent information from CMS, provider Castyn Rose Williams 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
1306329776
Provider Type
Individual
Full Name
Williams, Castyn Rose
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2018
Last Updated
4/3/2023

Contact Information

Practice Location

221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537

(616) 459-7258

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 5601008889 Michigan

Castyn Rose Williams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mccolley, Sarah

Brini, Cristina Lynn

Miller, Jessica Ann

Kung, Tonya Lynn

Newkirk, Michael William

Hoff, Cody Keith

Charleston, Mary Elizabeth

Schoen, Kailey

Schroeder, Adam Joseph

Cicerone-Carder, Anina L