| Nicholas Kevin Koep, PA-C | |
|
47601 Grand River Ave, Novi, MI 48374-1233 | |
| (248) 465-4100 | |
| Not Available |
| Full Name | Nicholas Kevin Koep |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 47601 Grand River Ave, Novi, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851125199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 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 | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Kevin Koep, PA-C 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335-2868 Ph: (605) 291-6805 | Nicholas Kevin Koep, PA-C 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 465-4100 |
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 |