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Leigh Ellen Vantimmeren

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

This provider is enrolled in PECOS as LEIGH VANTIMMEREN.

Based on the most recent information from CMS, provider Leigh Ellen Vantimmeren 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 yesterday at 1:10 PM.

Profile Details

Provider ID
1346603933
Provider Type
Individual
Full Name
Vantimmeren, Leigh Ellen
Title
Miss
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2016
Last Updated
1/27/2025

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-8700

(616) 267-8247

Mailing Location

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

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601010247 Michigan

Leigh Ellen Vantimmeren

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Magnusson, Michelle Lynn

Schoen, Kailey

Hendricks, John C

Lyons, Leah

Maust, Kyle

Wing, Amy Lynn

Owen, Megan Charlene

Stalsonburg, Daniel J

Bolenz-Geesin, Laura J

Bogard, Jeremy Peter