Eric Thomas Comer, PA-C
Individual provider Active NPI Physician Assistant · Three Rivers, MI
NPI 1891028809 · NPPES record last updated Sep 9, 2009
Key facts
- NPI
- 1891028809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601005571 (MI)
- Practice address
- 850 S Health Pkwy
Three Rivers, MI 49093-8358 - Phone
- (269) 279-5240
- Fax
- (269) 273-9060
- NPI assigned
- Sep 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group Promed
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
7901 Angling Rd
Portage, MI 49024-0714
Hospital & facility affiliations
- Borgess Medical Center
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 |
|---|---|---|---|---|
| I20101012000432 | MI | Practitioner - Physician Assistant | 0941492797 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005571 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Healthcare | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Past | Accepting new patients |
Locations
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963
3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005571 | MI | Yes |
Addresses
Primary practice location
850 S Health Pkwy
Three Rivers, MI 49093-8358
Mailing address
850 S Health Pkwy
Three Rivers, MI 49093-8358
Phone (269) 279-5240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363A00000X | Other | MI | TAXONOMY |
| 5601005571 | Other | MI | STATE LICENSE |
Other providers in Three Rivers, MI
- Christopher L. Barnes, PLLC
- Jessica Christopher
- City of Three Rivers
- Devin Clemence
- Nicole Raye Combs
- Community Healing Center
- David Conner
- Margaret A Cook
- Stacey Marie Coon-Ballard
- Nicole Rochelle Corfield
All providers in Three Rivers, 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 Sep 9, 2009. 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.