Individual ProviderMarianne MousigianPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247(616) 840-8000PECOS EnrollmentBased on the most recent information from CMS, provider Marianne Mousigian 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 yesterday at 10:10 AM.Profile DetailsProvider ID1265812325Provider TypeIndividualFull NameMousigian, MarianneCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/4/2015Last Updated3/6/2024Contact InformationPractice LocationPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8000Fax(616) 840-9642Mailing LocationMailing Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8000Fax(616) 840-9642Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4301107764Michigan