| Justin Patrick, PA | |
|
24725 W 12 Mile Rd Ste 260, Southfield, MI 48034-8310 | |
| (248) 382-8052 | |
| Not Available |
| Full Name | Justin Patrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 24725 W 12 Mile Rd Ste 260, Southfield, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366120982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011860 (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 |
|---|---|---|
| Hatahet Center Pllc | 5193183986 | 2 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Emergency Department Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Alpha Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326630716 PECOS PAC ID: 4486060845 Enrollment ID: O20210309002678 |
| Entity Name | Hatahet Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629762497 PECOS PAC ID: 5193183986 Enrollment ID: O20230627001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Patrick, PA 2701 Park Ave, Detroit, MI 48201-3041 Ph: Not Available | Justin Patrick, PA 24725 W 12 Mile Rd Ste 260, Southfield, MI 48034-8310 Ph: (248) 382-8052 |
Alexa Chris Jarboa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21311 Civic Center Dr, Southfield, MI 48076 Phone: 248-881-9800 |
Amy G. Connolly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22255 Greenfield Rd Ste 590, Southfield, MI 48075 Phone: 248-849-4990 Fax: 248-849-4991 |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |
Ms. Eleanor Rachael Wiedeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 2, Southfield, MI 48033 Phone: 248-663-1900 Fax: 844-598-9633 |
Mr. Rafik E Mansour, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23832 Southfield Rd, Southfield, MI 48075 Phone: 248-569-2600 |