| Kelly Malia Peterson, PA-C | |
|
1301 Mercy Drive, Muskegon, MI 49444 | |
| (231) 739-9492 | |
| Not Available |
| Full Name | Kelly Malia Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1301 Mercy Drive, Muskegon, 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 |
|---|---|---|---|
| 1003217860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007197 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Muskegon Hospital | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Michigan Observation Services Pllc | 3375938889 | 30 |
| Entity Name | Lake Michigan Emergency Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Lake Michigan Observation Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Malia Peterson, PA-C 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Kelly Malia Peterson, PA-C 1301 Mercy Drive, Muskegon, MI 49444 Ph: (231) 739-9492 |
Ashley Lauren Dorton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Mercy Dr, Muskegon, MI 49444 Phone: 231-672-3500 Fax: 231-672-6199 |
Ms. Rita Ann Winteringham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1212 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9427 Fax: 231-830-9729 |
Mrs. Meredith L Best, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St, Suite 324b, Muskegon, MI 49442 Phone: 231-726-5075 Fax: 231-728-1675 |
Rebecca L Schlager, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 |
Rachel Lauren Debruin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-557-3443 |
Ms. Audra Langlois, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St Ste 401, Muskegon, MI 49442 Phone: 231-728-4243 |
Ms. Thea N Clouse-gawronski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 Phone: 231-672-4243 Fax: 231-727-4217 |