| Ms Debra E Evola, PA-C | |
|
131 Kercheval, Pierson Clinic, Grosse Pointe Farms, MI 48230 | |
| (313) 882-7900 | |
| Not Available |
| Full Name | Ms Debra E Evola |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 131 Kercheval, Grosse Pointe Farms, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457492761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002394 (Michigan) | Primary |
| Entity Name | Michigan Neurology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861498362 PECOS PAC ID: 8628987468 Enrollment ID: O20050330000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Debra E Evola, PA-C 131 Kercheval, Pierson Clinic, Grosse Pointe Farms, MI 48230 Ph: (313) 882-7900 | Ms Debra E Evola, PA-C 131 Kercheval, Pierson Clinic, Grosse Pointe Farms, MI 48230 Ph: (313) 882-7900 |
Marina Matta, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 17108 Mack Ave Ste 108, Grosse Pointe Farms, MI 48230 Phone: 313-723-2572 |
Raleigh D Eckert, PA, MSPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18700 Mack Ave, Grosse Pointe Farms, MI 48236 Phone: 313-925-3486 |
Karen Andrea Matron, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300 |