| Kathryn E Kass, PA | |
|
500 Campus Dr, Hancock, MI 49930-1452 | |
| (906) 483-1060 | |
| (906) 372-3230 |
| Full Name | Kathryn E Kass |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 500 Campus Dr, Hancock, 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 |
|---|---|---|---|
| 1326371816 | NPI | - | NPPES |
| 2504 | Other | WI | WISCONSIN STATE LICENSE |
| 0C16002138 | Other | MI | MEDICARE PTAN |
| 0C16002 | Other | MI | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006284 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601006284 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Up Health System Portage | Hancock, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Great Lakes Family Health Center | 1951432384 | 41 |
| Entity Name | Upper Great Lakes Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Entity Name | Portage Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn E Kass, PA 135 E M35, Gwinn, MI 49841-9160 Ph: (906) 483-1060 | Kathryn E Kass, PA 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1060 |
Mercedes A Maki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1103 |
Ms. Courtney Holly Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Emergency Department, Hancock, MI 49930 Phone: 906-483-1000 |
Ms. Tara Lynn Lassila, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1147 |
Mr. Guy Pellegrini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |
Jesse R Primeau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1777 |
Whitney J Brey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Suite 2, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 |
Ms. Megan M Brueggeman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Drive, Suite 1, Hancock, MI 49930 Phone: 906-483-1040 Fax: 906-483-1270 |