| Kathryn Marie Poulos, | |
|
9377 N Haggerty Rd, Plymouth, MI 48170 | |
| (734) 451-0070 | |
| (734) 451-1583 |
| Full Name | Kathryn Marie Poulos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083988323 | NPI | - | NPPES |
| 5601006317 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006317 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Family Health Care Pc | 9638077621 | 20 |
| Ross Summers Md Pllc | 9830099563 | 5 |
| Entity Name | Park Family Health Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437161437 PECOS PAC ID: 9638077621 Enrollment ID: O20031231000344 |
| Entity Name | Ross Summers MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295865954 PECOS PAC ID: 9830099563 Enrollment ID: O20040109000927 |
| Entity Name | Elliott I. Greenspan, D.O., P.C. & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063577641 PECOS PAC ID: 1658267232 Enrollment ID: O20040223000663 |
| 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 |
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 |
Nicholas David Sapienza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9003 Quail Cir, Plymouth, MI 48170 Phone: 313-618-7441 |