| Anthony Joseph Mucciante, | |
|
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
| (734) 936-4000 | |
| Not Available |
| Full Name | Anthony Joseph Mucciante |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902469265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601009213 (Michigan) | Primary |
| Entity Name | Regents of the University of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689609448 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000747 |
| Entity Name | Chelsea Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912947409 PECOS PAC ID: 0648171074 Enrollment ID: O20040119000004 |
| Entity Name | St Joseph Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
| Entity Name | Saint Joseph Mercy Livingston Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285753236 PECOS PAC ID: 8628964525 Enrollment ID: O20040301000934 |
| Entity Name | Emergency Department Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Hospitalist Physicians Medical Group of Michigan, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003978867 PECOS PAC ID: 4688778228 Enrollment ID: O20070409000434 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Joseph Mucciante, 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Anthony Joseph Mucciante, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
Carrie Kraeger Porter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-6666 |
Mrs. Katherine Ann Mccormack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |
Aubrey Lynn Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp F, Ann Arbor, MI 48109 Phone: 734-936-5738 |
Ainslee Joy Rubino, MS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |
Cindy Felcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp A, Ann Arbor, MI 48109 Phone: 734-936-5850 |
Kelly M Oberhelman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 48109 Phone: 734-647-5944 |
Ray Kendall Heaney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |