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Alyssa Renee Groendyke

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA GROENDYKE.

Based on the most recent information from CMS, provider Alyssa Renee Groendyke 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
1306429048
Provider Type
Individual
Full Name
Groendyke, Alyssa Renee
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
4/30/2021
Last Updated
12/10/2024

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-7900

(616) 267-7901

Mailing Location

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

(616) 486-6790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601010315 Michigan

Alyssa Renee Groendyke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

House, Elizabeth

Rauch, Matthew Robert

Mccolley, Sarah

Westerhof, Joseph J.

Huisken, Briana

Mcmanes, April D

Schroeder, Adam Joseph

Rogers, Abby Jayne

Newkirk, Michael William

Van Zanen, Rebecca Michelle