Meghan Haley Alice Tobiczyk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006001 Issued in MI

Practice address

28903 Woodward Ave
Berkley, MI 48072-0924

Phone

(248) 581-0333

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art of Dermatology PLLCGroup PAC ID 9830441690, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Art of Dermatology PLLC

  • Dermatology Physician
  • Berkley, MI
  • NPI 1275022519
  Medicare reassignment Care Compare group
• Alan Bolton, MD, PC

  • Obstetrics & Gynecology Physician
  • Berkley, MI
  • NPI 1467632901
  NPD
• Kevin J Gaffney MD PC

  • Dermatology Physician
  • Flint, MI
  • NPI 1699940619
  NPD (past)
• Scott B Karlene MD PC

  • Dermatology Physician
  • Flint, MI
  • NPI 1124293147
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1275768392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28903 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720924",
            "telephone_number": "248-581-0333",
            "fax_number": "810-230-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28903 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720924",
            "telephone_number": "248-581-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBICZYK",
        "first_name": "MEGHAN",
        "middle_name": "HALEY ALICE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DD1846",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9344881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Rae Thoma, DPT
• Natalie Renee Thomas
• Ryan Lee Thomason, BA
• Phelisha Michelle Thompson, LPN
• Nelson Thorn III, LPN
• Tobin Mental Health, PLLC
• Erika Tobin
• Ann Tonkin, PT, ATC
• Emily Tripp, DC
• Mackenzie May Tuohy

• Physician Assistant in Berkley, MI
• Providers in Berkley, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.