| Dr Kelly Mason, DO | |
|
1701 Baldwin Ave Ste 102, Pontiac, MI 48340-1168 | |
| (248) 334-4962 | |
| (810) 733-1632 |
| Full Name | Dr Kelly Mason |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1701 Baldwin Ave Ste 102, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003848979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101016328 (Michigan) | Primary |
| Entity Name | Ascension Genesys Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528283033 PECOS PAC ID: 2062323033 Enrollment ID: O20031208000842 |
| Entity Name | Oakland Integrated Healthcare Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316214299 PECOS PAC ID: 9436313004 Enrollment ID: O20120611000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Mason, DO 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-5000 | Dr Kelly Mason, DO 1701 Baldwin Ave Ste 102, Pontiac, MI 48340-1168 Ph: (248) 334-4962 |
Dr. Essa Hanna Hattar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Ikechukwu Mgbudem, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Oakland Integrated Health Care Network Dba Honor Commun, 461 West Huron Street, Suite 107, Pontiac, MI 48341 Phone: 248-724-7600 Fax: 248-857-7141 | |
Lorand Kristof, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-6700 | |
Dr. Alexander Nicholas Christofis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3959 Centerpoint Pkwy Ste 100, Pontiac, MI 48341 Phone: 248-333-2600 Fax: 248-333-3250 | |
Casey A Raisch, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Synyi Jameela Amy Chen, MS, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 |