Kristine Marie Balavitch, PA is a
Physician Assistant based in Grosse Pointe Park, Michigan. Kristine Marie Balavitch is licensed to practice in Michigan (license number 5601009978) and her current practice location is
15050 E Jefferson Ave, Grosse Pointe Park, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 938-0141.
NPI number for Kristine Marie Balavitch is 1538777321 and her current mailing address is 41424 Ann Arbor Rd E, Plymouth, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538777321.
Provider's Profile
Full Name | Kristine Marie Balavitch |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 15050 E Jefferson Ave, Grosse Pointe Park, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538777321
- Provider Enumeration Date: 07/17/2020
- Last Update Date: 09/01/2022
Medical Identifiers
Medical identifiers for Kristine Marie Balavitch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538777321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601009978 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristine Marie Balavitch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristine Marie Balavitch, PA 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 Ph: () - | Kristine Marie Balavitch, PA 15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 Ph: (248) 938-0141 |
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