| Ms Autumn Nguyen, PAC | |
|
38935 Ann Arbor Rd, Credentialing/payer Enrollment Dept, Livonia, MI 48150-3397 | |
| (734) 632-0175 | |
| (734) 805-0489 |
| Full Name | Ms Autumn Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 38935 Ann Arbor Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003199910 | NPI | - | NPPES |
| MA055123 | Other | PA | STATE LICENSE |
| PENDING | Other | PA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA055123 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Autumn Nguyen, PAC 601 Park St, Emergency Department, Honesdale, PA 18431-1445 Ph: (570) 253-8140 | Ms Autumn Nguyen, PAC 38935 Ann Arbor Rd, Credentialing/payer Enrollment Dept, Livonia, MI 48150-3397 Ph: (734) 632-0175 |
Jennifer Gracia Villella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9555 Middlebelt Rd, Livonia, MI 48150 Phone: -- | |
Ms. Andrea Nicole Yurcak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-1230 | |
Jennifer Handy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Livonia, MI 48152 Phone: 734-542-6100 | |
Carlito Robles, Physician Assistant Medicare: Medicare Enrolled Practice Location: 18528 Gillman St, Livonia, MI 48152 Phone: 248-885-7275 | |
Barbara F. Wolk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9216 Middlebelt Rd, Livonia, MI 48150 Phone: 734-427-3500 Fax: 734-427-9234 | |
Ms. Melissa Anne Rettmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33215 7 Mile Rd, Livonia, MI 48152 Phone: 248-478-3200 |