| Ms Kristen Zimmer, PA-C | |
|
13636 Dix Toledo Rd, Southgate, MI 48195-2432 | |
| (734) 283-2262 | |
| (734) 283-8121 |
| Full Name | Ms Kristen Zimmer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 13636 Dix Toledo Rd, Southgate, 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 |
|---|---|---|---|
| 1275883225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006393 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 575 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristen Zimmer, PA-C 13636 Dix Toledo Rd, Southgate, MI 48195-2432 Ph: (734) 283-2262 | Ms Kristen Zimmer, PA-C 13636 Dix Toledo Rd, Southgate, MI 48195-2432 Ph: (734) 283-2262 |
Chelsea Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502 |
Amanda Lauren Bowman- Collins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 Fax: 734-283-5430 |
Nabeel Omar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-283-2262 |
Maham Mushtaq, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 |
Kimberly D Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502 |
Sara Kelley, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14600 Pennsylvania Rd, Southgate, MI 48195 Phone: 734-675-1520 |
Mrs. Amanda Dyan Zilka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15450 Northline Rd, Ste 101, Southgate, MI 48195 Phone: 734-282-2020 Fax: 734-282-2002 |