| Kristen Elizabeth Kavanagh, DO | |
|
51221 Schoenherr Rd Ste 201, Shelby Twp, MI 48315-2718 | |
| (586) 323-4450 | |
| (586) 323-4448 |
| Full Name | Kristen Elizabeth Kavanagh |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 51221 Schoenherr Rd Ste 201, Shelby Twp, 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 |
|---|---|---|---|
| 1174562482 | NPI | - | NPPES |
| 4901604 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101015629 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Physician Partners | 8921482605 | 73 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Alliance Health Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841615648 PECOS PAC ID: 7618199225 Enrollment ID: O20141117000290 |
| Entity Name | Henry Ford Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427703602 PECOS PAC ID: 8921482605 Enrollment ID: O20220830000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Elizabeth Kavanagh, DO 51221 Schoenherr Rd Ste 201, Shelby Twp, MI 48315-2718 Ph: (586) 323-4450 | Kristen Elizabeth Kavanagh, DO 51221 Schoenherr Rd Ste 201, Shelby Twp, MI 48315-2718 Ph: (586) 323-4450 |
Marcia Elizabeth Kling, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47733 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-254-2534 Fax: 586-254-3889 | |
Shara L Croff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6300 22 Mile Rd, Shelby Twp, MI 48317 Phone: 586-726-9860 | |
Dr. Keith B Tom, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49221 Van Dyke, Shelby Twp, MI 48317 Phone: 586-254-4860 Fax: 586-254-5844 | |
Kristina Maria Wixon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 24 Mile Rd, Shelby Twp, MI 48316 Phone: 586-677-3310 Fax: 586-677-3326 | |
Dr. Sheetal Varde, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49310 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-731-8900 Fax: 586-731-7762 |