| Kelli Beaudoin, PA | |
|
18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | |
| (313) 429-7977 | |
| (313) 429-7981 |
| Full Name | Kelli Beaudoin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 18100 Oakwood Blvd, Dearborn, 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 |
|---|---|---|---|
| 1891725495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003485 (Michigan) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 5601003485 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eric T Silberg Md Pc | 1759319031 | 4 |
| Entity Name | Eric T Silberg MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063516565 PECOS PAC ID: 1759319031 Enrollment ID: O20050728000380 |
| Entity Name | Michigan Orthopedic Specialists, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598110348 PECOS PAC ID: 3971859869 Enrollment ID: O20180706002514 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Beaudoin, PA 21031 Michigan Ave, Suite 400-credentialing, Dearborn, MI 48124-2339 Ph: (313) 277-6700 | Kelli Beaudoin, PA 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 Ph: (313) 429-7977 |
Mr. Charles G. Papazian, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwoo0d Blvd, Dearborn, MI 48124 Phone: 313-593-7408 |
Brian Jeffrey Vosko, M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21031 Michigan Ave, Dearborn, MI 48124 Phone: 313-277-6700 Fax: 313-216-0176 |
Meredith Ann Halloran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-551-3745 |
Mark Doerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23823 Ford Rd, Dearborn, MI 48128 Phone: 313-277-4146 |
Mr. Michael T Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Drive, Henry Ford Hospital Fairlaine Er, Dearborn, MI 48126 Phone: 313-982-8369 |
Summer Zayed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-438-7992 Fax: 313-438-7990 |
Aisha Balol, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5250 Auto Club Dr Ste 300, Dearborn, MI 48126 Phone: 313-724-9000 |