Kathryn Marie Poulos, in Plymouth, MI - Medicare Physician Assistant

Kathryn Marie Poulos, is a medicare enrolled "Physician Assistant" in Plymouth, Michigan. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Park Family Health Care, P.c. and her current practice location is 9377 N Haggerty Rd, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 451-0070.

Kathryn Marie Poulos is licensed to practice in Michigan (license number 5601006317) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083988323.

Contact Information

	Kathryn Marie Poulos,
	9377 N Haggerty Rd, Plymouth, MI 48170
	(734) 451-0070
	(734) 451-1583

Map and Direction

Provider's Profile

Full Name	Kathryn Marie Poulos
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	9377 N Haggerty Rd, Plymouth, 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.

Medical Education and Training:

Kathryn Marie Poulos graduated from nursing school in 2011

NPI Data:

NPI Number: 1083988323
Provider Enumeration Date: 03/05/2012
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 4880855998
Enrollment ID: I20120417000771

Medical Identifiers

Medical identifiers for Kathryn Marie Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083988323	NPI	-	NPPES
5601006317	Other	MI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601006317 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Dearborn	Dearborn, MI	Hospital
Beaumont Hospital - Wayne	Wayne, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Family Health Care, P.c.	9638077621	19

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Marie Poulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathryn Marie Poulos, 9377 N Haggerty Rd, Plymouth, MI 48170-4622 Ph: (734) 451-0070	Kathryn Marie Poulos, 9377 N Haggerty Rd, Plymouth, MI 48170 Ph: (734) 451-0070

Reviews and Comments

Physician Assistant Nurses in Plymouth, MI

Miss Hayat M Dabaja, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 800-653-6568 Fax: 313-876-1305
William Andrew Graham, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41424 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-254-0700
Emily N Zoroya, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-928-1600 Fax: 734-732-4908
Nathaniel Lambie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1498 S Sheldon Rd, Plymouth, MI 48170 Phone: 734-927-5335
Elizabeth Ashley Kozak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15474 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-335-6103 Fax: 630-734-4715
Dennis W Kabaczy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47311 Five Mile Rd, Plymouth, MI 48170 Phone: 734-254-0665 Fax: 734-254-0667

Kathryn Marie Poulos, - Medicare Physician Assistant in Plymouth, MI