| Kathryn Ansley Smith, PA-C | |
|
12427 Janes Lndg, South Lyon, MI 48178-2801 | |
| (248) 935-1115 | |
| Not Available |
| Full Name | Kathryn Ansley Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 12427 Janes Lndg, South Lyon, 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 |
|---|---|---|---|
| 1225863210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Grand Rapids Hospital | Grand rapids, MI | Hospital |
| Trinity Health Muskegon Hospital | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 499 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Ansley Smith, PA-C 12427 Janes Lndg, South Lyon, MI 48178-2801 Ph: (248) 935-1115 | Kathryn Ansley Smith, PA-C 12427 Janes Lndg, South Lyon, MI 48178-2801 Ph: (248) 935-1115 |
Randall Stein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 N. Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 |
Ryan Gaston Leckner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22655 Indianwood Dr, South Lyon, MI 48178 Phone: 248-880-0878 |
Hiba Shakir, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 24279 Bay Laurel Ln, South Lyon, MI 48178 Phone: 802-598-8891 |
Jenna Marie Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22024 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-2525 |
Vincent Robert Gasparotto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22990 Pontiac Trl, South Lyon, MI 48178 Phone: 248-667-9202 |
Morgan A Covington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 26006 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-5613 Fax: 248-437-5694 |
Madison Marie Masters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 S Lafayette St, South Lyon, MI 48178 Phone: 947-348-1176 |