Individual ProviderLeah RaschPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537(616) 459-7258PECOS EnrollmentBased on the most recent information from CMS, provider Leah Rasch is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1942742432Provider TypeIndividualFull NameRasch, LeahCredentialPAGenderFemaleSole ProprietorNoEnumeration Date11/15/2016Last Updated3/9/2022Contact InformationPractice LocationPractice Address221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537Phone(616) 459-7258FaxUnlisted FaxMailing LocationMailing Address100 Michigan St NE, Mc 845, Grand Rapids, MI 49503-2560PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601007960Michigan