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Michael William Newkirk

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 MICHAEL NEWKIRK.

Based on the most recent information from CMS, provider Michael William Newkirk 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
1548762206
Provider Type
Individual
Full Name
Newkirk, Michael William
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
3/8/2018
Last Updated
12/19/2024

Contact Information

Practice Location

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

(616) 391-2802

(616) 391-2840

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 5601008935 Michigan

Michael William Newkirk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Otteman, Makayla Denae

Kubiak, Kalin

Kuiper, Benjamin Daniel

Breese, William R

Bremer, Sarah Ruth

Vanwingen, Robin Sandra

Vandeusen, Julie

Hartman, Kate

Westerhof, Joseph J.

Rauch, Matthew Robert