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Tekia Elaine Ricumstrict

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

700 Fuller Avenue, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as TEKIA RICUMSTRICT.

Based on the most recent information from CMS, provider Tekia Elaine Ricumstrict 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
1316316177
Provider Type
Individual
Full Name
Ricumstrict, Tekia Elaine
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/22/2015
Last Updated
3/5/2021

Contact Information

Practice Location

700 Fuller Avenue, Grand Rapids, MI 49503

(616) 632-7186

Unlisted Fax

Mailing Location

700 Fuller Avenue, Grand Rapids, MI 49503

(616) 632-7186

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601007465 Michigan

Tekia Elaine Ricumstrict

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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