Katherine Lynn Fontichiaro, MD | |
4200 Whitehall Dr Ste 250, Ann Arbor, MI 48105-9694 | |
(734) 677-3376 | |
(734) 527-3229 |
Full Name | Katherine Lynn Fontichiaro |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 10 Years |
Location | 4200 Whitehall Dr Ste 250, Ann Arbor, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134546021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4301105378 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Specialists Of Ann Arbor Pllc | 9830574672 | 7 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Dermatology Specialists Of Ann Arbor Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689306680 PECOS PAC ID: 9830574672 Enrollment ID: O20220915001261 |
Mailing Address | Practice Location Address |
---|---|
Katherine Lynn Fontichiaro, MD 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: () - | Katherine Lynn Fontichiaro, MD 4200 Whitehall Dr Ste 250, Ann Arbor, MI 48105-9694 Ph: (734) 677-3376 |
Yolanda Rosi Helfrich, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Dr. Jessica Marie Ghaferi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3131 S State St Ste 309, Ann Arbor, MI 48108 Phone: 503-906-7300 Fax: 503-245-8219 | |
Dr. Alexandra Cappiello Hristov, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109 Phone: 800-862-7284 | |
Dr. Frank Wang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 E. Medical Ctr Dr, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109 Phone: 734-936-4054 | |
Dr. Susan Riggs Runge, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Drive, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109 Phone: 734-936-4054 | |
Mrs. Grace Ann Hile, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Rachel Fayne, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Drive, Tc 1910/spc 5314, Ann Arbor, MI 48109 Phone: 734-936-4054 Fax: 734-647-2540 |