| Jan Prusinowski, PA-C | |
|
1500 Eureka Rd, Wyandotte, MI 48192-6103 | |
| (734) 282-2500 | |
| (734) 282-6397 |
| Full Name | Jan Prusinowski |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 46 Years |
| Location | 1500 Eureka Rd, Wyandotte, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366413411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601001290 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Of Michigan Pc | 0941511224 | 40 |
| Entity Name | Advanced Dermatology of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851708929 PECOS PAC ID: 0941511224 Enrollment ID: O20150615000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Prusinowski, PA-C 826 Highview St, Dearborn, MI 48128-1548 Ph: (313) 563-6340 | Jan Prusinowski, PA-C 1500 Eureka Rd, Wyandotte, MI 48192-6103 Ph: (734) 282-2500 |
Marissa Gabrielle Romo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |
Dr. Ibrahim Hussein Dabaja, PA-C, PH.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1768 Ford Ave, Wyandotte, MI 48192 Phone: 313-377-5758 Fax: 734-574-6060 |
Alyssa Christie, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 735-246-6000 |
Kayla Gacioch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Biddle Ave Ste 100, Wyandotte, MI 48192 Phone: 734-246-5705 |
Kaitlin Elizabeth Flaherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |
Vanessa Varma, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 Ford Ave, Ste. 100, Wyandotte, MI 48192 Phone: 586-612-3556 |
Alexis Alicia Hernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |