| Lori J Tatay, PA-C | |
|
2122 Health Dr Sw, Wyoming, MI 49519-9698 | |
| (616) 252-5790 | |
| (616) 252-5793 |
| Full Name | Lori J Tatay |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 2122 Health Dr Sw, Wyoming, 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 |
|---|---|---|---|
| 1942376165 | NPI | - | NPPES |
| 160C976180 | Other | MI | BCBSM |
| 1942376165 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | EL31055 (New Hampshire) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601004900 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1946 |
| Entity Name | University of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University of Minnesota Health Clinics and Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J Tatay, PA-C 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243 | Lori J Tatay, PA-C 2122 Health Dr Sw, Wyoming, MI 49519-9698 Ph: (616) 252-5790 |
Samantha Blair, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 812-909-7200 |
Brandi Paine, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460 |
Micah Nahum Foster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Del Mar Dr Sw Ste C, Wyoming, MI 49418 Phone: 616-317-4807 |
Payton Marsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2060 Health Dr Sw, Wyoming, MI 49519 Phone: 616-333-1200 |
Rebecca S Zerial, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 |
Daniel Schoen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-624-9530 |
Ashley A Wilda, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460 |