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Abby Jayne Rogers

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

25 Michigan St NE, Suite 6100, Grand Rapids, MI 49503-2515

PECOS Enrollment

This provider is enrolled in PECOS as ABBY ROGERS.

Based on the most recent information from CMS, provider Abby Jayne Rogers 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 8 days ago.

Profile Details

Provider ID
1093033821
Provider Type
Individual
Full Name
Rogers, Abby Jayne
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/4/2010
Last Updated
10/19/2016

Contact Information

Practice Location

25 Michigan St NE, Suite 6100, Grand Rapids, MI 49503-2515

(616) 267-7900

(616) 267-7901

Mailing Location

100 Michigan St NE, Mc845, Grand Rapids, MI 49503-2560

(616) 267-7900

(616) 267-7901

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601005717 Michigan

Abby Jayne Rogers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Charleston, Mary Elizabeth

Balaj, Elizabeth Victoria

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Salk, Hannah Gabrielle

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