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Erik Louis Marchinek

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 Michigan St NE, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as ERIK MARCHINEK.

Based on the most recent information from CMS, provider Erik Louis Marchinek 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
1720481831
Provider Type
Individual
Full Name
Marchinek, Erik Louis
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
10/2/2014
Last Updated
2/26/2021

Contact Information

Practice Location

100 Michigan St NE, Grand Rapids, MI 49503

(616) 391-3431

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 5601008559 Michigan

Provider Identifiers

ID	Description	Issuer
ID 2641PA	Description Medicaid	Issuer Unlisted South Carolina
ID 1720481831	Description Medicaid	Issuer Unlisted North Carolina

Erik Louis Marchinek

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Lyons, Leah

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Kubiak, Kalin

Hohnstein, Chad

Romine, Dina Barbara Kaissi

Stewart, Samantha Diane

Schroeder, Adam Joseph

Wing, Amy Lynn

Herman, Rachel Marie