| Mackenzie Michie, PA-C | |
|
4001 W Mcnichols Rd, Detroit, MI 48221-3038 | |
| (313) 993-2145 | |
| Not Available |
| Full Name | Mackenzie Michie |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 4001 W Mcnichols Rd, Detroit, 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 |
|---|---|---|---|
| 1629943733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silver Pine Medical Group Plc | 8325020332 | 39 |
| Entity Name | Silver Pine Medical Group PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639105695 PECOS PAC ID: 8325020332 Enrollment ID: O20040603000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Michie, PA-C 4001 W Mcnichols Rd, Detroit, MI 48221-3038 Ph: Not Available | Mackenzie Michie, PA-C 4001 W Mcnichols Rd, Detroit, MI 48221-3038 Ph: (313) 993-2145 |
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