| Ms Kimberly Irene Bade, PA-C | |
|
47601 Grand River Ave, Novi, MI 48374-1233 | |
| (248) 849-8721 | |
| (248) 849-8507 |
| Full Name | Ms Kimberly Irene Bade |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 47601 Grand River Ave, Novi, 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 |
|---|---|---|---|
| 1578013397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007904 (Michigan) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA9109996 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health Providence Hospital | 6103738703 | 364 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Pro Health Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649781733 PECOS PAC ID: 5193087609 Enrollment ID: O20180321002193 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Irene Bade, PA-C 1229 N Alexander Ave, Royal Oak, MI 48067-3630 Ph: (248) 765-9919 | Ms Kimberly Irene Bade, PA-C 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 849-8721 |
Devyn Porath, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39555 W 10 Mile Rd Ste 302, Novi, MI 48375 Phone: 248-426-7200 |
Christina Rosemarie Byk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39450 W Twelve Mile Rd, Novi, MI 48377 Phone: 248-661-7393 |
Maria Pavia, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41302 Scarborough Ln, Novi, MI 48375 Phone: 248-924-4058 |
Skylar Goldstein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-860-9150 |
Marina Medhat George, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25500 Meadowbrook Rd Ste 208, Novi, MI 48375 Phone: 248-200-9240 |
Jessica L Gelfand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26750 Providence Pkwy Ste 200, Novi, MI 48374 Phone: 866-974-2673 Fax: 866-939-2673 |
Geanne Erard Geraghty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River, Novi, MI 48374 Phone: 248-465-4300 |