Ms Courtney Danielle Gullett, MMS, PA-C, RD, CNSC is a medicare enrolled "Physician Assistant" provider in West Bloomfield, Michigan. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Iha Health Services Corporation and her current practice location is
6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(800) 653-6568.
Ms Courtney Danielle Gullett is licensed to practice in Michigan (license number 5601010680) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962034884.
Healthcare Provider's Profile
| Full Name | Ms Courtney Danielle Gullett |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Courtney Danielle Gullett graduated from medical school in 2021
NPI Data:
- NPI Number: 1962034884
- Provider Enumeration Date: 02/08/2020
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749683845
- Enrollment ID: I20210727003368
Medical Identifiers
Medical identifiers for Ms Courtney Danielle Gullett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962034884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 164007950 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 5601010680 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Iha Health Services Corporation | 2466351440 | 945 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Courtney Danielle Gullett is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Courtney Danielle Gullett, MMS, PA-C, RD, CNSC
1 Ford Pl,
Detroit, MI 48202-3450
Ph: (313) 874-4806 | Ms Courtney Danielle Gullett, MMS, PA-C, RD, CNSC
6777 W Maple Rd,
West Bloomfield, MI 48322-3013
Ph: (800) 653-6568 |
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