| Michelle L Mardegian, PA-C | |
|
19401 Hubbard Dr, Dearborn, MI 48126-2641 | |
| (313) 982-8100 | |
| Not Available |
| Full Name | Michelle L Mardegian |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 19401 Hubbard Dr, Dearborn, 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 |
|---|---|---|---|
| 1457476129 | NPI | - | NPPES |
| MM002219 | Other | MI | MI LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002219 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601002219 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Henry Ford Allegiance Health | Jackson, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| W.a. Foote Memorial Hospital, Inc. | 0244136067 | 435 |
| Henry Ford Medical Group | 0547178311 | 2095 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Mardegian, PA-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Michelle L Mardegian, PA-C 19401 Hubbard Dr, Dearborn, MI 48126-2641 Ph: (313) 982-8100 |
Mr. Charles G. Papazian, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwoo0d Blvd, Dearborn, MI 48124 Phone: 313-593-7408 | |
Brian Jeffrey Vosko, M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21031 Michigan Ave, Dearborn, MI 48124 Phone: 313-277-6700 Fax: 313-216-0176 | |
Mark Doerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23823 Ford Rd, Dearborn, MI 48128 Phone: 313-277-4146 | |
Ms. Sheila Johnson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Ste 411, Dearborn, MI 48124 Phone: 313-438-7373 Fax: 313-438-7375 | |
Mr. Michael T Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Drive, Henry Ford Hospital Fairlaine Er, Dearborn, MI 48126 Phone: 313-982-8369 | |
John Charles Millard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7965 | |
Mansoor Iqbal Bhatti, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2040 Monroe St, Suite #209, Dearborn, MI 48124 Phone: 313-359-3800 Fax: 313-277-4100 |