| Tyler Wiggins, PA-C | |
|
4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 | |
| (810) 602-8898 | |
| Not Available |
| Full Name | Tyler Wiggins |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4777 E Outer Dr Ste 1147, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922690304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010433 (Michigan) | 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 | Professional Emergency Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326235698 PECOS PAC ID: 3870493588 Enrollment ID: O20040504001497 |
| Entity Name | Ribhi Hazin MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457727307 PECOS PAC ID: 2062729833 Enrollment ID: O20150911001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Wiggins, PA-C 284 Almont Ave, Almont, MI 48003-8601 Ph: (810) 602-8898 | Tyler Wiggins, PA-C 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 Ph: (810) 602-8898 |
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 |