Katharine Micallef, DO | |
5333 Mcauley Dr Rm 2110, Ypsilanti, MI 48197-1097 | |
(734) 712-3967 | |
(734) 712-2341 |
Full Name | Katharine Micallef |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 5333 Mcauley Dr Rm 2110, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033524962 | NPI | - | NPPES |
2109093 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OP60862994 (Washington) | Secondary |
207V00000X | Obstetrics & Gynecology | 5101021040 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Katharine Micallef, DO 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Katharine Micallef, DO 5333 Mcauley Dr Rm 2110, Ypsilanti, MI 48197-1097 Ph: (734) 712-3967 |
Sharon O'leary, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4936 W Clark Rd, Building D, Suite 100, Ypsilanti, MI 48197 Phone: 734-434-6200 Fax: 734-434-7373 | |
Dr. Tamara Pelish, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4940 W Clark Rd, Suite 100, Ypsilanti, MI 48197 Phone: 734-434-0477 Fax: 734-434-6240 | |
Dr. Lisa Rene Jeffries, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197 Phone: 734-712-3967 | |
Dr. Allison Kreske, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Suite 100, Ypsilanti, MI 48197 Phone: 734-434-0477 Fax: 734-434-6240 | |
Dr. Mikel Llanes, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Dr. Gina Long, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Suite 100, Ypsilanti, MI 48197 Phone: 734-434-0477 Fax: 734-434-6240 |