Individual ProviderLaura MascotePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address301 Michigan St. NE, Suite 200, Grand Rapids, MI 49503(616) 331-5700PECOS EnrollmentBased on the most recent information from CMS, provider Laura Mascote does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1164317061Provider TypeIndividualFull NameMascote, LauraCredentialPAGenderFemaleSole ProprietorNoEnumeration Date6/11/2025Last Updated6/11/2025Contact InformationPractice LocationPractice Address301 Michigan St. NE, Suite 200, Grand Rapids, MI 49503Phone(616) 331-5700Fax(616) 331-5999Mailing LocationMailing Address1 Campus Dr, 2015 James H. Zumberge Hall, Allendale, MI 49401Phone(616) 331-5700Fax(616) 331-5999Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer