Individual ProviderCarolyn VollmerPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247(616) 840-8005(818) 375-2000PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn Vollmer 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 ID1821226978Provider TypeIndividualFull NameVollmer, CarolynTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/29/2009Last Updated3/31/2021Contact InformationPractice LocationPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8005Fax(616) 840-9642Mailing LocationMailing Address13652 Cantara St, Panorama City, CA 91402-5423Phone(818) 375-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4301094300MichiganCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301094300MichiganCode208100000XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseA114776California