| Mary Boayue, P A | |
|
29240 Buckingham St, Livonia, MI 48154 | |
| (734) 513-2800 | |
| Not Available |
| Full Name | Mary Boayue |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 29240 Buckingham St, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255707576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007125 (Michigan) | Primary |
| 363AM0700X | Physician Assistant - Medical | 5601007125 (Michigan) | Secondary |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Boayue, P A 29240 Buckingham St, Livonia, MI 48154-4575 Ph: (734) 513-2800 | Mary Boayue, P A 29240 Buckingham St, Livonia, MI 48154 Ph: (734) 513-2800 |
Ms. Autumn Nguyen, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 38935 Ann Arbor Rd, Credentialing/payer Enrollment Dept, Livonia, MI 48150 Phone: 734-632-0175 Fax: 734-805-0489 |
Ms. Andrea Nicole Yurcak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-1230 |
Jennifer Handy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Livonia, MI 48152 Phone: 734-542-6100 |
Barbara F. Wolk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9216 Middlebelt Rd, Livonia, MI 48150 Phone: 734-427-3500 Fax: 734-427-9234 |
Ms. Melissa Anne Rettmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33215 7 Mile Rd, Livonia, MI 48152 Phone: 248-478-3200 |
Lauren Elizabeth Raden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36700 Five Mile Rd, Livonia, MI 48154 Phone: 734-335-8601 Fax: 734-469-4237 |
Hilary Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20317 Farmington Rd, Livonia, MI 48152 Phone: 248-615-0777 Fax: 248-615-0779 |