| Kathryn Marie Poulos, | |
|
9377 N Haggerty Rd, Plymouth, MI 48170 | |
| (734) 451-0070 | |
| (734) 451-1583 |
| Full Name | Kathryn Marie Poulos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 9377 N Haggerty Rd, Plymouth, 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 |
|---|---|---|---|
| 1083988323 | NPI | - | NPPES |
| 5601006317 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006317 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Garden City Hospital | Garden city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Family Health Care, P.c. | 9638077621 | 19 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Marie Poulos, 9377 N Haggerty Rd, Plymouth, MI 48170-4622 Ph: (734) 451-0070 | Kathryn Marie Poulos, 9377 N Haggerty Rd, Plymouth, MI 48170 Ph: (734) 451-0070 |
Miss Hayat M Dabaja, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 800-653-6568 Fax: 313-876-1305 | |
William Andrew Graham, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41424 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-254-0700 | |
Emily N Zoroya, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-928-1600 Fax: 734-732-4908 | |
Nathaniel Lambie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1498 S Sheldon Rd, Plymouth, MI 48170 Phone: 734-927-5335 | |
Elizabeth Ashley Kozak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15474 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-335-6103 Fax: 630-734-4715 | |
Dennis W Kabaczy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47311 Five Mile Rd, Plymouth, MI 48170 Phone: 734-254-0665 Fax: 734-254-0667 |