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Sarah Mccolley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

25 Michigan St NE, Suite 3300, Grand Rapids, MI 49503-2515

PECOS Enrollment

Based on the most recent information from CMS, provider Sarah Mccolley 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
1972533628
Provider Type
Individual
Full Name
Mccolley, Sarah
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/4/2006
Last Updated
1/30/2024

Contact Information

Practice Location

25 Michigan St NE, Suite 3300, Grand Rapids, MI 49503-2515

(616) 459-4171

(616) 459-0044

Mailing Location

20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203

(586) 771-4820

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601005298 Michigan

Sarah Mccolley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Benso, Brent

Van Zanen, Rebecca Michelle

House, Elizabeth

O'Rourke, Lois Anne

Newkirk, Michael William

Rauch, Matthew Robert

Miller, Allison Riekse

Erickson, Mary F

Mcmanes, April D

Imeri, Mergime