| Jennifer Rita Walster, | |
|
44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117 | |
| (248) 964-5111 | |
| (248) 964-5068 |
| Full Name | Jennifer Rita Walster |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 44201 Dequindre Rd Ste Ec, Troy, 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 |
|---|---|---|---|
| 1043538630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601004997 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 575 |
| 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 |
| Entity Name | Wellstreet Urgent Care of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578048096 PECOS PAC ID: 6305188491 Enrollment ID: O20190610002007 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Rita Walster, 750 Stephenson Hwy, William Beaumont Hospital, Payor Contract Services, Troy, MI 48083-1103 Ph: Not Available | Jennifer Rita Walster, 44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117 Ph: (248) 964-5111 |
Stephanie Anne Davenport, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-4866 Fax: 248-964-4848 |
Ms. Patricia A St. Marie, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4756 Squirrel Hill Dr, Troy, MI 48098 Phone: 248-267-0135 Fax: 248-338-5547 |
Ellen O Mcguire, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-4866 Fax: 248-964-4848 |
Samantha Grace Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 |
Rylie Russ, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6257 Fax: 248-792-9106 |
Michael F Parslow Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 Stephenson Hwy, Beaumont Payor Contract Services, Troy, MI 48083 Phone: 248-577-3519 |
Devon O'connor-kutz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-8432 Fax: 248-964-8420 |