| Meghan Alyssa Larose, PA-C | |
|
3095 E Walton Blvd, Auburn Hills, MI 48326-2370 | |
| (248) 373-1790 | |
| Not Available |
| Full Name | Meghan Alyssa Larose |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3095 E Walton Blvd, Auburn Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205282951 | NPI | - | NPPES |
| 6W1UL | Other | FL | BC/BS FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601013571 (Michigan) | Primary |
| Entity Name | Florida Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Entity Name | Ohi West Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Alyssa Larose, PA-C 3095 E Walton Blvd, Auburn Hills, MI 48326-2370 Ph: (248) 373-1790 | Meghan Alyssa Larose, PA-C 3095 E Walton Blvd, Auburn Hills, MI 48326-2370 Ph: (248) 373-1790 |
Samantha Safaya, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3400 Auburn Rd Ste 100, Auburn Hills, MI 48326 Phone: 248-858-2255 Fax: 248-499-7436 |
Kristen Marie Yourick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 Cross Creek Pkwy, Auburn Hills, MI 48326 Phone: 248-377-8000 |
Sara Anne Wierzbicki, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 Cross Creek Pkwy, Auburn Hills, MI 48326 Phone: 248-377-8000 Fax: 248-377-2929 |
Mrs. Julia M Zimmerman, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3400 Auburn Rd Ste 100, Auburn Hills, MI 48326 Phone: 248-858-2255 Fax: 248-499-7436 |
Mr. Stephen C Jarvis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3252 University Dr, Ste 140, Auburn Hills, MI 48326 Phone: 248-373-7600 Fax: 248-373-7714 |
Carina Kiriazis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3095 E Walton Blvd, Auburn Hills, MI 48326 Phone: 248-373-1790 |
Lavonne Kalabat Kasmikha, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3800 Automation Ave, Auburn Hills, MI 48326 Phone: 248-754-0426 Fax: 248-754-0478 |