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Matthew Robert Rauch

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 MATTHEW RAUCH.

Based on the most recent information from CMS, provider Matthew Robert Rauch 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
1316271711
Provider Type
Individual
Full Name
Rauch, Matthew Robert
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
10/1/2009
Last Updated
3/10/2022

Contact Information

Practice Location

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

(616) 885-5000

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 5601005590 Michigan

Matthew Robert Rauch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Maust, Kyle

Charles, Kara E

Dedoyard, Emily

Benso, Brent

Bissonette, Gary

Debano, Christopher M

Vanwingen, Robin Sandra

Mankivsky, Lauren

Otteman, Makayla Denae

Braun, Deana Marie