| Mr Michael Thomas Wendt, PAC | |
|
38935 Ann Arbor Road, Professional Emergency Care, Pc, Livonia, MI 48150-3397 | |
| (734) 632-0175 | |
| (866) 250-6385 |
| Full Name | Mr Michael Thomas Wendt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 38935 Ann Arbor Road, 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 |
|---|---|---|---|
| 1164706073 | NPI | - | NPPES |
| 5601006220 | Other | MI | STATE LICENSE |
| PENDING | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006220 (Michigan) | Primary |
| Entity Name | Hope Medicoes PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801032396 PECOS PAC ID: 3870641053 Enrollment ID: O20090427000481 |
| Entity Name | Emergency Professionals of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Thomas Wendt, PAC 10000 Telegraph Road, Professional Emergency Care, Pc, Taylor, MI 48180-3330 Ph: (313) 295-5007 | Mr Michael Thomas Wendt, PAC 38935 Ann Arbor Road, Professional Emergency Care, Pc, Livonia, MI 48150-3397 Ph: (734) 632-0175 |
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 |