Debra Linda-jackman Kalis, PA-C - Medicare Physician Assistant in Southfield, MI

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Debra Linda-jackman Kalis, PA-C is a medicare enrolled "Physician Assistant" in Southfield, Michigan. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Henry Ford Health Providence Hospital and her current practice location is 16001 W 9 Mile Rd # 3, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 849-2600.

Debra Linda-jackman Kalis is licensed to practice in Michigan (license number 5601007311) 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 1396138251.

Contact Information

Debra Linda-jackman Kalis, PA-C
16001 W 9 Mile Rd # 3,
Southfield, MI 48075-4818
(248) 849-2600
(248) 849-2610

Map and Direction




Provider's Profile

Full NameDebra Linda-jackman Kalis
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location16001 W 9 Mile Rd # 3, Southfield, 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:
  • Debra Linda-jackman Kalis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1396138251
  • Provider Enumeration Date: 03/16/2015
  • Last Update Date: 03/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284953779
  • Enrollment ID: I20150505001613

Medical Identifiers

Medical identifiers for Debra Linda-jackman Kalis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396138251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601007311 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Health Providence Southfield HospitalSouthfield, MIHospital
Henry Ford Health -st John HospitalDetroit, MIHospital
Henry Ford Health Warren HospitalWarren, MIHospital
Henry Ford Health HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Health Providence Hospital6103738703364

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. Debra Linda-jackman Kalis allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942265236
PECOS PAC ID: 6103738703
Enrollment ID: O20031103000326
Entity NameHenry Ford Health Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811073901
PECOS PAC ID: 0547178311
Enrollment ID: O20031210001052
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142

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. Debra Linda-jackman Kalis 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
Debra Linda-jackman Kalis, PA-C
16001 W 9 Mile Rd # 3,
Southfield, MI 48075-4818

Ph: (248) 849-2600		Debra Linda-jackman Kalis, PA-C
16001 W 9 Mile Rd # 3,
Southfield, MI 48075-4818

Ph: (248) 849-2600

Reviews and Comments


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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.