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Keasha Keintz

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

35 Michigan St NE, Suite 3003, Grand Rapids, MI 49503-2514

PECOS Enrollment

Based on the most recent information from CMS, provider Keasha Keintz 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
1487992616
Provider Type
Individual
Full Name
Keintz, Keasha
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/23/2013
Last Updated
2/24/2021

Contact Information

Practice Location

35 Michigan St NE, Suite 3003, Grand Rapids, MI 49503-2514

(616) 267-2500

(616) 267-2501

Mailing Location

100 Michigan St NE, Mc 845, Grand Rapids, MI 49503-2560

(616) 267-2500

(616) 267-2501

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601006591 Michigan

Keasha Keintz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vanelderen, Lyndsay Wilkens

Groendyke, Alyssa Renee

Rauch, Matthew Robert

Meyer, Kylie

House, Elizabeth

Brini, Cristina Lynn

Pebbles, Timothy Allen

Williams, Castyn Rose

Witte, Kristin

Hoff, Cody Keith