| Kaitlyn Mackenzie Shaw, | |
|
2550 S Telegraph Rd Ste 104, Bloomfield Hills, MI 48302-0951 | |
| (248) 972-5143 | |
| Not Available |
| Full Name | Kaitlyn Mackenzie Shaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2550 S Telegraph Rd Ste 104, Bloomfield Hills, 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 |
|---|---|---|---|
| 1952141863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Cosmetic Center Pllc | 0244600807 | 9 |
| Entity Name | Dermatology & Cosmetic Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811605660 PECOS PAC ID: 0244600807 Enrollment ID: O20221223001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Mackenzie Shaw, 2550 S Telegraph Rd Ste 104, Bloomfield Hills, MI 48302-0951 Ph: Not Available | Kaitlyn Mackenzie Shaw, 2550 S Telegraph Rd Ste 104, Bloomfield Hills, MI 48302-0951 Ph: (248) 972-5143 |
Corinne N Gratson, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 43141 Woodward Ave, Bloomfield Hills, MI 48302 Phone: 248-333-0333 |
Danielle Leclair Carr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 W Big Beaver Rd Ste 190, Bloomfield Hills, MI 48304 Phone: 248-997-7000 |
Shelby Brewington, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4050 W Maple Rd Ste 101, Bloomfield Hills, MI 48301 Phone: 248-885-8211 |
Brandon Metcalf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44038 Woodward Ave, Bloomfield Hills, MI 48302 Phone: 248-335-2977 |
Stephen Ruemenapp, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 44038 Woodward Ave Ste 200, Bloomfield Hills, MI 48302 Phone: 248-335-2977 |
Carlo A Marceau, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42557 Woodward Ave Ste 200, Bloomfield Hills, MI 48304 Phone: 248-333-1170 Fax: 248-333-1175 |
Mrs. Nichole Lynn Worthing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40800 Woodward Ave, Bloomfield Hills, MI 48304 Phone: 877-433-7767 Fax: 877-433-6907 |