Eve J. Komosa, PA-C
Individual provider Active NPI Physician Assistant · Ironwood, MI
NPI 1609214600 · NPPES record last updated Jun 12, 2013
Key facts
- NPI
- 1609214600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006694 (MI)
- Practice address
- N. 10561 Grand View Lane
Aspirus Grand View
Ironwood, MI 49938 - Phone
- (906) 932-1500
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grand View Lane
Ironwood, MI 49938-9622
N10565 Grandview Lane
Ironwood, MI 49938-9622
N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067
Hospital & facility affiliations
- Aspirus at Home
- Avanti Home Care
- Aspirus Ironwood Hospital
- Aspirus Iron River Hospital & Clinics, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
|---|---|---|---|---|
| I20130913000104 | MI | Practitioner - Physician Assistant | 9638313661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Vickers Eyecare, Inc | Past |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
9815 State Highway 70
Minocqua, WI 54548
Phone (715) 358-3937
Interoperability endpoints
- ekomosa63893@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006694 | MI | Yes |
Addresses
Primary practice location
N. 10561 Grand View Lane
Aspirus Grand View
Ironwood, MI 49938
Mailing address
3821 Tulane Ave
Madison, WI 53714-2954
Phone (608) 630-1522
Other providers in Ironwood, MI
- Louis James
- John Jarocki
- Brenda A Jaworski
- Kathleen D Kirchner
- Kmart
- Ashley Koski
- Kevin Alden Kummerow
- Kelsey Ladwig
- Alyssa Bryanne Lamaide
- Dana Lynn Leannah
All providers in Ironwood, 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 Jun 12, 2013. 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.