| Whitney J Brey, PA | |
|
500 Campus Dr, Suite 2, Hancock, MI 49930-1569 | |
| (906) 483-1060 | |
| (906) 372-3230 |
| Full Name | Whitney J Brey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 500 Campus Dr, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861734873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601006634 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601006634 (Michigan) | Primary |
| Entity Name | Upper Great Lakes Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney J Brey, PA 135 E M35, Gwinn, MI 49841-9160 Ph: (906) 483-1060 | Whitney J Brey, PA 500 Campus Dr, Suite 2, Hancock, MI 49930-1569 Ph: (906) 483-1060 |
Mercedes A Maki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1103 |
Ms. Courtney Holly Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Emergency Department, Hancock, MI 49930 Phone: 906-483-1000 |
Kathryn E Kass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 |
Mr. Guy Pellegrini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |
Jesse R Primeau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1777 |
Ms. Megan M Brueggeman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Drive, Suite 1, Hancock, MI 49930 Phone: 906-483-1040 Fax: 906-483-1270 |
Sarah Anne Fosco, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |