Mrs Amanda Putrus Kejbou, PA-C - Medicare Physician Assistant in Allen Park, MI

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Mrs Amanda Putrus Kejbou, PA-C is a medicare enrolled "Physician Assistant" in Allen Park, Michigan. She went to Wayne State University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ieppc Urgent Care Pllc, Wellstreet Urgent Care Of Michigan and her current practice location is 15606 Southfield Rd, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 771-5274.

Mrs Amanda Putrus Kejbou is licensed to practice in Michigan (license number 5601008688) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790278778.

Contact Information

Mrs Amanda Putrus Kejbou, PA-C
15606 Southfield Rd,
Allen Park, MI 48101-2513
(313) 771-5274
(313) 771-5256

Map and Direction




Provider's Profile

Full NameMrs Amanda Putrus Kejbou
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location15606 Southfield Rd, Allen Park, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda Putrus Kejbou attended and graduated from Wayne State University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1790278778
  • Provider Enumeration Date: 06/13/2018
  • Last Update Date: 02/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466708706
  • Enrollment ID: I20180628003364

Medical Identifiers

Medical identifiers for Mrs Amanda Putrus Kejbou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790278778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 5601008688 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corewell Health William Beaumont University HospitRoyal oak, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ieppc Urgent Care Pllc903244876620
Wellstreet Urgent Care Of Michigan6305188491129

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amanda Putrus Kejbou allows following entities to bill medicare on her behalf.
Entity NameIndependent Emergency Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
Entity NameIndependent Observation Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119500
PECOS PAC ID: 3577603604
Enrollment ID: O20091221000327
Entity NameWellstreet Urgent Care of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578048096
PECOS PAC ID: 6305188491
Enrollment ID: O20190610002007
Entity NameIeppc Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689235897
PECOS PAC ID: 9032448766
Enrollment ID: O20190905002667

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. Mrs Amanda Putrus Kejbou is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Amanda Putrus Kejbou, PA-C
37000 Grand River Ave Ste 310,
Farmington Hills, MI 48335-2868

Ph: (248) 536-2127		Mrs Amanda Putrus Kejbou, PA-C
15606 Southfield Rd,
Allen Park, MI 48101-2513

Ph: (313) 771-5274

Reviews and Comments


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Gina Mary Peruzzi,
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Practice Location: 19100 Goddard Rd, Allen Park, MI 48101
Phone: 313-763-0309    
Mrs. Lisa Ruth Mclean, PA-C
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Phone: 313-982-1370    Fax: 313-982-1376
Mary Elaine Barna, DPM PA
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Phone: 313-388-9205    Fax: 313-388-9264
Ronald Lambert, P.A.
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Brittany Aune, PA-C
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Practice Location: 9952 Carter Ave, Allen Park, MI 48101
Phone: 734-672-0123    
Bradley James Centala,
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Practice Location: 7226 Allen Rd, Allen Park, MI 48101
Phone: 313-874-4806    
Ali Fajer Ateya, PA-C
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Medicare: Medicare Enrolled
Practice Location: 14726 Champaign Rd, Allen Park, MI 48101
Phone: 313-789-7968    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.