| Ms Miranda Leah Katty, MS PA-C | |
|
3577 W 13 Mile Rd Ste 202a, Royal Oak, MI 48073-6710 | |
| (248) 551-0669 | |
| (248) 551-0058 |
| Full Name | Ms Miranda Leah Katty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3577 W 13 Mile Rd Ste 202a, Royal Oak, 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 |
|---|---|---|---|
| 1023461134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007838 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601007838 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group- Specialty Services | 7214299866 | 868 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| 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 Miranda Leah Katty, MS PA-C 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: Not Available | Ms Miranda Leah Katty, MS PA-C 3577 W 13 Mile Rd Ste 202a, Royal Oak, MI 48073-6710 Ph: (248) 551-0669 |
Catherine Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2481 |
Jenna Rayis, M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1017 Orchard Grove Dr, Royal Oak, MI 48067 Phone: 248-836-8764 |
Mrs. Garwai Chan Insco, M.S PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 Fax: 248-898-1473 |
Mrs. Inge Maria Hanschu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 413 Park Ave, Royal Oak, MI 48067 Phone: 586-781-0497 |
Meredith Lynne Moran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 844-266-0093 |
Amanda Mary Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 |
Samuel John Muench, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0123 |