MR. MAURICE EUGENE FONGERS III PA-C
NPI 1790893014
Physician Assistant in Greenville, MI

Q: What is Maurice Fongers's NPI number?

The NPI number for Maurice Fongers is 1790893014. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Q: What is Maurice Fongers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maurice Fongers was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment

707 S GREENVILLE WEST DR, GREENVILLE, MI 48838(616) 754-3001(616) 754-3828 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Maurice Eugene Fongers Iii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAURICE EUGENE FONGERS III PA-C (NPI 1790893014) is an individual physician assistant in Greenville, Michigan, licensed in Michigan (5601002820) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1790893014

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MAURICE EUGENE FONGERS IIICredential: PA-C

Location Address707 S GREENVILLE WEST DRGreenville, MI 48838-3514

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 754-3001

Fax(616) 754-3828

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 27, 2006

Last NPPES UpdateMarch 15, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1790893014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601002820

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

707 S GREENVILLE WEST DR, Greenville, MI 48838

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Maurice Eugene Fongers Iii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820053671

PECOS Enrollment IDI20041122000496

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230035

Location615 S Bower StreetGreenville, MI 48838 · Montcalm County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48838 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims21 services$59.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN GILLIS PA

Physician Assistant