| Amy Marie Kirby, MD | |
|
44555 Woodward Ave, Suite 206, Pontiac, MI 48341-5031 | |
| (248) 338-7171 | |
| (248) 858-3889 |
| Full Name | Amy Marie Kirby |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 44555 Woodward Ave, Pontiac, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821107848 | NPI | - | NPPES |
| 4415961 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | AK070384 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Olma Specialty Services Llc | 8426464884 | 33 |
| Entity Name | Iha Olma Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457949588 PECOS PAC ID: 8426464884 Enrollment ID: O20210309002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Marie Kirby, MD 44555 Woodward Ave, Suite 206, Pontiac, MI 48341-5031 Ph: (248) 338-7171 | Amy Marie Kirby, MD 44555 Woodward Ave, Suite 206, Pontiac, MI 48341-5031 Ph: (248) 338-7171 |
Leah Liu, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Leith Isaac Brown, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Nitin Venkatesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 651-767-2078 | |
Dr. Alicia Nicole Kieninger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Suite 501, Pontiac, MI 48341 Phone: 248-338-7171 Fax: 248-858-3889 | |
Jason Djohn, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Dr. Michael Maiden, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 617-721-2615 | |
Dr. Sai Santosh Sreenivasan, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 |