Kylene Willsey, MD | |
13699 E Old Us Highway 12, Chelsea, MI 48118 | |
(734) 475-4500 | |
(734) 475-4507 |
Full Name | Kylene Willsey |
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Gender | Female |
Speciality | Pediatrics |
Location | 13699 E Old Us Highway 12, Chelsea, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336553239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301105815 (Michigan) | Primary |
Entity Name | Dell Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
Mailing Address | Practice Location Address |
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Kylene Willsey, MD 13699 E Old Us Highway 12, Chelsea, MI 48118-9664 Ph: (734) 475-4500 | Kylene Willsey, MD 13699 E Old Us Highway 12, Chelsea, MI 48118 Ph: (734) 475-4500 |
Mary Westhoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 | |
Dr. Susanna Lin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 | |
Gina South, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14288 E Old Us Hwy 12 Ste 100, Chelsea, MI 48118 Phone: 734-475-9175 | |
Tara L Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 | |
Dr. Scott Macleod Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13699 Old Us 12, Chelsea, MI 48118 Phone: 734-475-4500 Fax: 734-475-4507 | |
Stephanie Meyer Tarnacki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14288 E Old Us Highway 12 Ste 100, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 |