Aubrey Lynn Kovach, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601009234 Issued in MI

Practice address

5020 W Bristol Rd
Flint, MI 48507-2919

Phone

(989) 793-4250

Fax

(810) 732-8559

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Surgery Assoc PCGroup PAC ID 2567443559, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: avrable82182@direct.covenanthealthcare.com

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.

• Vascular Surgery Assoc PC

  • Vascular Surgery Physician
  • Flint, MI
  • NPI 1710959150
  Medicare reassignment Care Compare group
• Johanna M Richey, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Yuma, AZ
  • NPI 1609354034
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1265099113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-1620",
            "fax_number": "810-732-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "989-793-4250",
            "fax_number": "810-732-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "AUBREY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601009234",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601009234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Curtis Koryciak, M.D., MA, BA, TLLP
• Jennifer Kosakowski
• Virginia Kathryn Kosek
• John Kosinski, HEARING AID SALESPER
• Fayez Kotob, M.D., M.B.A.
• David Michael Kowal, DPM
• Whitney Kowalski
• Emily Kate Kozan, LLPC
• Christopher J Kozma, LPTA
• Michael J. Kraemer, LMSW

• Surgical Physician Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.