| Katherine Lynn Fontichiaro, MD | |
|
420 N Main St Ste 600, Chelsea, MI 48118-1703 | |
| (734) 385-7255 | |
| Not Available |
| Full Name | Katherine Lynn Fontichiaro |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 420 N Main St Ste 600, Chelsea, 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 |
|---|---|---|---|
| 1134546021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301105378 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adult And Pediatric Dermatology Pllc | 8123261369 | 6 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Adult & Pediatric Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952749376 PECOS PAC ID: 8123261369 Enrollment ID: O20130906000855 |
| Entity Name | Dermatology Specialists Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689306680 PECOS PAC ID: 9830574672 Enrollment ID: O20220915001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Lynn Fontichiaro, MD 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: () - | Katherine Lynn Fontichiaro, MD 420 N Main St Ste 600, Chelsea, MI 48118-1703 Ph: (734) 385-7255 |
Vanessa Jo Waldvogel, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St Ste 600, Chelsea, MI 48118 Phone: 734-385-7255 Fax: 734-274-4925 | |
Dr. Jennifer Lynn Zacur, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St Ste 600, Chelsea, MI 48118 Phone: 734-385-7255 | |
Jona Kay Gill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14650 Old Us Hwy 12, Suite 308, Chelsea, MI 48118 Phone: 734-475-3221 Fax: 734-475-6411 | |
Dr. Anil Singal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St Ste 600, Chelsea, MI 48118 Phone: 734-385-7255 Fax: 734-274-4925 | |
Vandan Shah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 Phone: 734-475-3221 |