| Jonathan Moseley, PA-C | |
|
39901 Traditions Dr, Northville, MI 48168-9493 | |
| (248) 305-4400 | |
| Not Available |
| Full Name | Jonathan Moseley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 39901 Traditions Dr, Northville, 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 |
|---|---|---|---|
| 1790343267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011086 (Michigan) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 50.005951RX (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health Macomb Oakland Hospital | 7315859725 | 155 |
| Michigan Orthopaedic Surgeons Pllc | 7810277811 | 127 |
| Entity Name | Henry Ford Health Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | Henry Ford Health St. John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Regents of the University of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457378036 PECOS PAC ID: 3779496856 Enrollment ID: O20061214000288 |
| 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 |
| Entity Name | Ali Hazimeh PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437796216 PECOS PAC ID: 2062846876 Enrollment ID: O20200103001374 |
| Entity Name | Hazimeh Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194364984 PECOS PAC ID: 1557775756 Enrollment ID: O20210129001390 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Moseley, PA-C 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Jonathan Moseley, PA-C 39901 Traditions Dr, Northville, MI 48168-9493 Ph: (248) 305-4400 |
Alexandra Heloise Godfrey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19460 Scenic Harbour Dr, Northville, MI 48167 Phone: 248-735-0201 |
Skylar Raitt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 W Main St Ste 251, Northville, MI 48167 Phone: 248-963-5915 Fax: 248-278-4854 |
Mary A Miceli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 422 N Center St, Northville, MI 48167 Phone: 483-481-1312 Fax: 248-348-1170 |
Kelly F Esper, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9043 Glenwood Ln, Northville, MI 48168 Phone: 248-756-0795 |
Kimberly Anne Veres Hannah, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 110, Northville, MI 48168 Phone: 248-305-4400 |
Miss Kayla Ann Mcintire, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 42677 Northville Place Dr Bldg 7, Northville, MI 48167 Phone: 810-956-3512 |
Kaela Nicole Crall, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 46706 Crystal Downs W, Northville, MI 48168 Phone: 316-218-2401 |