Ms Devon E Fenner, PA-C - Medicare Physician Assistant in Port Huron, MI

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Ms Devon E Fenner, PA-C is a medicare enrolled "Physician Assistant" in Port Huron, Michigan. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mymichigan Medical Center Midland and her current practice location is 750 Lakeview Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 488-5795.

Ms Devon E Fenner is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972160505.

Contact Information

Ms Devon E Fenner, PA-C
750 Lakeview Ave,
Port Huron, MI 48060-2104
(810) 488-5795
Not Available

Map and Direction




Provider's Profile

Full NameMs Devon E Fenner
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location750 Lakeview Ave, Port Huron, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Devon E Fenner graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1972160505
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789915976
  • Enrollment ID: I20191021001026

Medical Identifiers

Medical identifiers for Ms Devon E Fenner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972160505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mymichigan Medical Center MidlandMidland, MIHospital
Mymichigan Medical Center SaginawSaginaw, MIHospital
Mymichigan Medical Center ClareClare, MIHospital
Mymichigan Medical Center GladwinGladwin, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Midland2264323633507

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Devon E Fenner allows following entities to bill medicare on her behalf.
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568914422
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137
Entity NameMymichigan Medical Center Clare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134394026
PECOS PAC ID: 7012829773
Enrollment ID: O20080721000628
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Devon E Fenner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Devon E Fenner, PA-C
4100 Campus Ridge Dr,
Midland, MI 48640-6139

Ph: (810) 488-5795		Ms Devon E Fenner, PA-C
750 Lakeview Ave,
Port Huron, MI 48060-2104

Ph: (810) 488-5795

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.