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Robin Sandra Vanwingen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

330 Barclay Ave NE Ste 104, Grand Rapids, MI 49503-2525

PECOS Enrollment

This provider is enrolled in PECOS as ROBIN VANWINGEN.

Based on the most recent information from CMS, provider Robin Sandra Vanwingen is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not 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
1578544722
Provider Type
Individual
Full Name
Vanwingen, Robin Sandra
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/7/2005
Last Updated
2/17/2020

Contact Information

Practice Location

330 Barclay Ave NE Ste 104, Grand Rapids, MI 49503-2525

(616) 267-9823

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 5601003999 Michigan

Robin Sandra Vanwingen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rasch, Leah

Keintz, Keasha

Towns, Jenna Anne

Groendyke, Alyssa Renee

Raab, Rebecca

Cook, Brittany Ann

Maust, Kyle

Westerhof, Joseph J.

Charleston, Mary Elizabeth

Bissonette, Gary