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Individual provider Active NPI

Anne M Abrahamson, MD

  • Physical Medicine & Rehabilitation Physician
  • Wyandotte, MI
National Provider Identifier
1003870148
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301078199 Issued in MI
Practice address
3247 Biddle Ave
Wyandotte, MI 48192-5951
Phone
(734) 287-3000
Fax
(734) 287-3113
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301078199 MI Primary

Addresses

Primary practice location

3247 Biddle Ave
Wyandotte, MI 48192-5951

Mailing address

3247 Biddle Ave
Wyandotte, MI 48192-5951
Phone (734) 287-3000

Other identifiers 1

IdentifierTypeStateIssuer
5194927MedicaidMI

Other names 1

  • Dr. Anne M Bolyard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000266 MI Practitioner - Physical Medicine and Rehabilitation 8628062064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Physical Medicine and Rehabilitation PC 3 clinicians

Practice addresses (Care Compare)

3247 Biddle Ave
Wyandotte, MI 48192-5951
Phone (734) 287-3000

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Henry Ford Wyandotte Hospital Inpatient rehabilitation facility, Wyandotte, MI, CCN 23T146

Merit-based Incentive Payment System (MIPS)

Final score
22.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301078199MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Sports and Spine Center PC Physical Medicine & Rehabilitation CurrentSince Feb 13, 2020 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Downriver Rehabilitation Associates PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

Interoperability endpoints

  • Direct secure messaging: aabrahamson56686@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1003870148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925951",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925951",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301078199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5194927",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BOLYARD",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.