| Erica Michelle Fovenesi, PA | |
|
4466 W Bristol Rd, Flint, MI 48507-3170 | |
| (810) 733-1200 | |
| (810) 733-0688 |
| Full Name | Erica Michelle Fovenesi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 4466 W Bristol Rd, Flint, 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 |
|---|---|---|---|
| 1841692373 | NPI | - | NPPES |
| 5250505 | Other | MI | BCBSM |
| 1841692373 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601007093 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Hospital | Detroit, MI | Hospital |
| Henry Ford Health West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2550 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811073901 PECOS PAC ID: 0547178311 Enrollment ID: O20031210001052 |
| 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 | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
| Entity Name | W. A. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Michelle Fovenesi, PA 4466 W Bristol Rd, Flint, MI 48507-3170 Ph: (810) 733-1200 | Erica Michelle Fovenesi, PA 4466 W Bristol Rd, Flint, MI 48507-3170 Ph: (810) 733-1200 |
Aleesha Kilbreath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-762-7038 Fax: 810-760-0440 |
Francis C Wells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-9000 |
Diana Elkassis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5514 Meadowcrest Dr, Flint, MI 48532 Phone: 810-813-5566 |
Melissa Marie Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-9429 Fax: 810-262-9104 |
Alexsis M Parks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-6744 |
Geetika Guha, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1125 S Linden Rd Ste 900, Flint, MI 48532 Phone: 810-235-2004 |
Alison Guzzardo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 S Linden Rd Ste 3a, Flint, MI 48532 Phone: 810-672-1946 |