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Briana Huisken

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

PECOS Enrollment

Based on the most recent information from CMS, provider Briana Huisken 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
1366180044
Provider Type
Individual
Full Name
Huisken, Briana
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2022
Last Updated
10/10/2022

Contact Information

Practice Location

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

(616) 267-8950

Unlisted Fax

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 5601011195 Michigan

Briana Huisken

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Otteman, Makayla Denae

Vanwingen, Robin Sandra

Sturdevant, Samuel James

Honderd, Holly

Wallus, Richard Arlen

Stalsonburg, Daniel J

Brini, Cristina Lynn

Breese, William R

Hartman, Kate

Rogers, Rachel Ann