| Kristen Struble, PA-C | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (248) 661-6466 | |
| (313) 876-1305 |
| Full Name | Kristen Struble |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6777 W Maple Rd, West Bloomfield, 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 |
|---|---|---|---|
| 1790315877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601009782 (Michigan) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 5601009782 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health Providence Hospital | 6103738703 | 364 |
| Henry Ford Health System | 0547178311 | 2550 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811073901 PECOS PAC ID: 0547178311 Enrollment ID: O20031210001052 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Struble, PA-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (800) 999-5829 | Kristen Struble, PA-C 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-6466 |
Mrs. Stephanie Marie Lousia Weinberger, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-624-9800 |
Sarah Anne Mattan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 800-653-6568 |
Mrs. Kelly Mcintosh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 |
Alexis Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 800-653-6568 |
Mrs. Melissa Ann Shonk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 |
Ms. Margaret Delina Palombit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 313-282-5970 |
Tatiana Patke, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 800-653-6568 |