Rachel Albertin, PA-C
Individual provider Active NPI Physician Assistant · Coloma, MI
NPI 1104597665 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1104597665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 6559 Paw Paw Ave
Coloma, MI 49038-8805 - Phone
- (269) 463-3600
- Fax
- (269) 468-3334
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Community Hospital Watervliet
Practice addresses (Care Compare)
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3600
6559 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 463-3600
Hospital & facility affiliations
- Corewell Health Watervliet Hospital
- Lakeland Hospital, St Joseph
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220723000264 | IN | Practitioner - Physician Assistant | 8224419197 | Reassigns benefits to 1 organization |
| I20230310000557 | MI | Practitioner - Physician Assistant | 8224419197 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Past | Accepting new patients |
Locations
6559 Paw Paw Ave
Coloma, MI 49038
Phone (269) 408-1660
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- ralbertin1268263@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Yes | |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
6559 Paw Paw Ave
Coloma, MI 49038-8805
Mailing address
6559 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 463-3600
Other practice location 1
900 Johnson St
Elkhart, IN 46514-3328
Phone (574) 747-8004
Other practice location 2
1245 E Ireland Rd
South Bend, IN 46614-3448
Phone (574) 312-7022
Other practice location 3
505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135
Other practice location 4
2002 S 11th St
Niles, MI 49120-4074
Phone (269) 687-0200
Other names
- Rachel Bosley
Other providers in Coloma, MI
- Renee Anderson
- Barrier Free Occupational Therapy, Inc.
- Be Restored Inc
- Cozette Borgerson
- Kristin Arliene Bronkala
All providers in Coloma, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.