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Mara Gray Arnett

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 MARA ARNETT.

Based on the most recent information from CMS, provider Mara Gray Arnett 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
1841692001
Provider Type
Individual
Full Name
Arnett, Mara Gray
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/19/2014
Last Updated
12/10/2024

Contact Information

Practice Location

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

(616) 267-7900

(616) 267-7901

Mailing Location

1090 Arnold Dr, 19th Medical Group, Little Rock Air Force Base, AR 72099-4933

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601010817 Michigan

Mara Gray Arnett

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vandam, Emily Kay

Schoen, Kailey

Huisken, Briana

Jansma, Shannon M

Lyons, Leah

Bolenz-Geesin, Laura J

Vanwingen, Robin Sandra

Charles, Kara E

Hohnstein, Chad

Maust, Kyle