| Kelly M Potochny, PAC | |
|
401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532-3638 | |
| (810) 342-4917 | |
| (810) 342-1335 |
| Full Name | Kelly M Potochny |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 401 S Ballenger Hwy, Flint, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154390706 | NPI | - | NPPES |
| P00000563 | Other | MI | TRAVELERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003490 (Michigan) | Primary |
| Entity Name | Comprehensive Pain Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013331180 PECOS PAC ID: 6507099207 Enrollment ID: O20140505000856 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Potochny, PAC 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532-3638 Ph: (810) 342-4917 | Kelly M Potochny, PAC 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532-3638 Ph: (810) 342-4917 |
Aleesha Kilbreath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-762-7038 Fax: 810-760-0440 |
Francis C Wells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-9000 |
Diana Elkassis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5514 Meadowcrest Dr, Flint, MI 48532 Phone: 810-813-5566 |
Melissa Marie Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-9429 Fax: 810-262-9104 |
Alexsis M Parks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-6744 |
Geetika Guha, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1125 S Linden Rd Ste 900, Flint, MI 48532 Phone: 810-235-2004 |
Alison Guzzardo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 S Linden Rd Ste 3a, Flint, MI 48532 Phone: 810-672-1946 |