| Ryan Desgrange, PA-C | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-2181 | |
| (313) 916-4568 |
| Full Name | Ryan Desgrange |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801055744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1082078 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2550 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811073901 PECOS PAC ID: 0547178311 Enrollment ID: O20031210001052 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
| Entity Name | W. A. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Desgrange, PA-C 2799 W Grand Blvd # K12, Detroit, MI 48202-2689 Ph: Not Available | Ryan Desgrange, PA-C 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2181 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 |
Jennifer Gracia Villella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd # K9, Detroit, MI 48202 Phone: 313-916-4920 |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Lara Barnas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Annabel Shammami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Mack Ave, Detroit, MI 48201 Phone: 313-577-1716 |
Andrea Bell Kmiec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Sybrena Evans, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 |