The Boutique At Mercy Health Lacks Cancer Center
Durable Medical Equipment & Medical Supplies
200 Jefferson Ave Se, Grand Rapids
Michigan, 49503-4502
616-685-5030 The Boutique At Mercy Health Lacks Cancer Center is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. It is located at 200 Jefferson Ave Se, Grand Rapids and it's customer support contact number is 616-685-5030. The authorized person of The Boutique At Mercy Health Lacks Cancer Center is Dr. Matthew Biersack, MD who is President of this DME and his contact number is 616-685-6413. The Boutique At Mercy Health Lacks Cancer Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Boutique At Mercy Health Lacks Cancer Center is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
The Boutique At Mercy Health Lacks Cancer Center type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | The Boutique At Mercy Health Lacks Cancer Center |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 200 Jefferson Ave Se, Grand Rapids,
Michigan, 49503-4502 |
| Phone: | 616-685-5030 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Matthew Biersack |
| Credentials: | MD |
| Position: | President |
| Contact Number: | 616-685-6413 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1023274446 |
| NPI Enumeration Date: | 05 Aug, 2008 |
| NPI Last Update On: | 26 Aug, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Boutique At Mercy Health Lacks Cancer Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
The Boutique At Mercy Health Lacks Cancer Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4385844646 | O20100930072786 | The Boutique At Mercy Health Lacks Cancer Center | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
The Boutique At Mercy Health Lacks Cancer Center has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 Jefferson Ave Se,
Grand Rapids, Michigan |
| Zip: | 49503-4502 |
| Phone Number: | 616-685-5030 |
Patients can reach The Boutique At Mercy Health Lacks Cancer Center at
200 Jefferson Ave Se, Grand Rapids, Michigan or can
call on customer care at 616-685-5030.
Comments/ Reviews:
Read all the reviews posted for The Boutique At Mercy Health Lacks Cancer Center below. You may also share your own experience with The Boutique At Mercy Health Lacks Cancer Center. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.