| Kenneth Garian, | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-5000 | |
| Not Available |
| Full Name | Kenneth Garian |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437126901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003184 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifeline Medical Center | 3678948577 | 22 |
| Khadhory Mercy Pllc | 4486041787 | 3 |
| Entity Name | Khadhory Mercy PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205163060 PECOS PAC ID: 4486041787 Enrollment ID: O20220504001989 |
| Entity Name | Lifeline Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265160451 PECOS PAC ID: 3678948577 Enrollment ID: O20230515001595 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Garian, 3601 W 13 Mile Rd, 400-fsc/pcs, Royal Oak, MI 48073-6712 Ph: Not Available | Kenneth Garian, 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
Stephanie Anne Davenport, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-4866 Fax: 248-964-4848 |
Ms. Patricia A St. Marie, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4756 Squirrel Hill Dr, Troy, MI 48098 Phone: 248-267-0135 Fax: 248-338-5547 |
Ellen O Mcguire, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-4866 Fax: 248-964-4848 |
Samantha Grace Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 |
Rylie Russ, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6257 Fax: 248-792-9106 |
Michael F Parslow Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 Stephenson Hwy, Beaumont Payor Contract Services, Troy, MI 48083 Phone: 248-577-3519 |
Devon O'connor-kutz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-8432 Fax: 248-964-8420 |