NPIMap

Individual provider Active NPI

Alexandra Berichon, PA-C

  • Physician Assistant
  • Brooklyn, MI
National Provider Identifier
1326515784
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008849 Issued in MI
Practice address
153 Wamplers Lake Rd
Brooklyn, MI 49230-9585
Phone
(517) 205-2105
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008849 MI Primary

Addresses

Primary practice location

153 Wamplers Lake Rd
Brooklyn, MI 49230-9585

Mailing address

182 Holiday Dr
Brooklyn, MI 49230-9743
Phone (517) 945-8298

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
I20190125001874 MI Practitioner - Physician Assistant 9830436039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc. 476 clinicians

Practice addresses (Care Compare)

153 Wampiers Lake Rd
Henry Ford Allegiance Family Medicine Brook
Brooklyn, MI 49230-9585
Phone (517) 205-2105

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

813 W Michigan Ave
Henry Ford Allegiance Osteoporosis Center
Jackson, MI 49202-4158
Phone (517) 205-1000

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008849MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Dec 15, 2018 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 15, 2018 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant Past Accepting new patients

Locations

153 Wamplers Lake Rd
Brooklyn, MI 49230
Phone (517) 205-2105

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

8958 M 50
Onsted, MI 49265
Phone (517) 205-4424

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: aberichon552736@direct.hfhs.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1326515784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 HOLIDAY DR",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309743",
            "telephone_number": "517-945-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WAMPLERS LAKE RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309585",
            "telephone_number": "517-205-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERICHON",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

Verify at the official NPI Registry.