| Kristin Dicello, PA-C | |
|
47601 Grand River Ave, Suite C202, Novi, MI 48374-1233 | |
| (248) 465-5955 | |
| Not Available |
| Full Name | Kristin Dicello |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 47601 Grand River Ave, Novi, 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 |
|---|---|---|---|
| 1912444142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008080 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Providence Hospital | 6103738703 | 178 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Dicello, PA-C 1120 Edison Blvd, Port Huron, MI 48060-2030 Ph: (734) 255-2450 | Kristin Dicello, PA-C 47601 Grand River Ave, Suite C202, Novi, MI 48374-1233 Ph: (248) 465-5955 |
Devyn Porath, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39555 W 10 Mile Rd Ste 302, Novi, MI 48375 Phone: 248-426-7200 | |
Maria Pavia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41302 Scarborough Ln, Novi, MI 48375 Phone: 248-924-4058 | |
Mr. Bradley Joseph Watson, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-3243 Fax: 248-465-4648 | |
Jessica L Gelfand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26750 Providence Pkwy Ste 200, Novi, MI 48374 Phone: 866-974-2673 Fax: 866-939-2673 | |
Geanne Erard Geraghty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River, Novi, MI 48374 Phone: 248-465-4300 | |
Mrs. Jody Lynn Zak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 25613 Fountain Park Dr E, Apt 203, Novi, MI 48375 Phone: 616-915-3816 | |
Alana Garmo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy Ste 535, Novi, MI 48374 Phone: 248-380-8900 Fax: 248-380-0812 |