| Katherine E Young, PA-C | |
|
2270 Jolly Oak Rd Ste 1, Okemos, MI 48864-6932 | |
| (517) 975-9475 | |
| (517) 975-9490 |
| Full Name | Katherine E Young |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2270 Jolly Oak Rd Ste 1, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407951015 | NPI | - | NPPES |
| 292449800 | Medicaid | FL | |
| PA9102891 | Other | FL | MEDICAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005696 (Michigan) | Primary |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine E Young, PA-C 2270 Jolly Oak Rd Ste 1, Okemos, MI 48864-6932 Ph: (517) 975-9475 | Katherine E Young, PA-C 2270 Jolly Oak Rd Ste 1, Okemos, MI 48864-6932 Ph: (517) 975-9475 |
Elizabeth A Brannick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1881 W Grand River Ave, Okemos, MI 48864 Phone: 517-339-2100 |
Rhyan Pensa, PA - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Jolly Rd Ste 150, Okemos, MI 48864 Phone: 517-349-3900 |
Mr. Kipp Edward Rustenholtz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3413 Woods Edge, Okemos, MI 48864 Phone: 517-349-3303 |
Mr. Lance Ian Kortesoja, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2446 Jolly Rd Ste B, Okemos, MI 48864 Phone: 734-748-1899 |
Michelle Gormas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507 |
Andrew Cone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2175 Donovan Pl, Okemos, MI 48864 Phone: 517-599-8368 Fax: 517-599-8368 |
Paige E Wiegel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 W Grand River Ave Ste 4, Okemos, MI 48864 Phone: 517-381-6880 Fax: 517-381-6881 |