| Joel Kutz, PA-C | |
|
1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 | |
| (248) 244-9426 | |
| (844) 607-0511 |
| Full Name | Joel Kutz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1350 Kirts Blvd Ste 160, Troy, 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 |
|---|---|---|---|
| 1528149788 | NPI | - | NPPES |
| 5601004522 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601004522 (Michigan) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5601004522 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Henry Ford Health Macomb Hospital | Clinton township, MI | Hospital |
| Trinity Health Oakland Hospital | Pontiac, MI | Hospital |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Orthopaedic Surgeons Pllc | 7810277811 | 127 |
| Entity Name | Michigan Orthopaedic Surgeons PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Kutz, PA-C 26211 Central Park Blvd Ste 201, Southfield, MI 48076-4158 Ph: (833) 667-6327 | Joel Kutz, PA-C 1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 Ph: (248) 244-9426 |
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 |