Kerry P Mychaliska, MD | |
5301 Mcauley Dr, Ypsilanti, MI 48197 | |
(734) 712-3325 | |
(734) 712-5525 |
Full Name | Kerry P Mychaliska |
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Gender | Female |
Speciality | Pediatrics |
Location | 5301 Mcauley Dr, 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 |
---|---|---|---|
1265539522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301076390 (Michigan) | Primary |
Entity Name | Beaumont Medical Group Hospital Based Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Kerry P Mychaliska, MD 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Kerry P Mychaliska, MD 5301 Mcauley Dr, Ypsilanti, MI 48197 Ph: (734) 712-3325 |
Lindsey Nicole Farah-brunner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3325 Fax: 734-712-5525 | |
Dr. Samuel Abebe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5593 Redbud Ct, Ypsilanti, MI 48197 Phone: 734-846-2547 | |
Dr. Sandra B Cadichon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3327 Fax: 734-712-5525 | |
Yolaine A Civil, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Suite 200, Ypsilanti, MI 48198 Phone: 734-484-7288 | |
Elizabeth Marjorie Stone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4936 West Clark Rd., Suite 101, Ypsilanti, MI 48197 Phone: 734-434-3000 Fax: 734-434-8040 | |
Eliza Gardiner Stensland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3325 Fax: 734-712-5525 | |
Dr. Bradley Judge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 E Huron River Dr, Department Of Pediatrics, Ypsilanti, MI 48197 Phone: 734-712-3325 |